CHARLES DAVID SULLIVAN

LITTLE ROCK, AR
NPI1801857693
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: AR  C4650)
Enumeration Date2006-03-31
Last Update Date2007-07-08
Business Address
CHARLES DAVID SULLIVAN
1 LILE CT SUITE 101
LITTLE ROCK, AR 72205-6242
Phone number: 501-225-7711
Mailing Address
CHARLES DAVID SULLIVAN
1 LILE CT SUITE 101
LITTLE ROCK, AR 72205-6242
Phone number: 501-225-7711