THEODORE K. SULLIVAN

WASHINGTON, MO
NPI1437153772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MO  T02915)
Enumeration Date2005-06-01
Last Update Date2017-10-26
Business Address
THEODORE K. SULLIVAN O.D.
3071 PHOENIX CENTER DR
WASHINGTON, MO 63090-5690
Phone number: 636-777-2345
Mailing Address
THEODORE K. SULLIVAN O.D.
15933 CLAYTON RD STE 201
BALLWIN, MO 63011-2172
Phone number: 636-200-4393
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