NPI | 1235228222 |
---|---|
Doing Business As | SULLIVAN MEDICAL OFFICE |
Entity Type | Organization |
Authorized Contact | LISA LYNNE LOCHNER President 573-860-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO 355-24) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2025-09-17 |