Individual provider · NPI-1

Dr. Christopher David Sullivan, M.D, M.P.H.

Preventive Medicine, Public Health & General Preventive Medicine · Glendale, AZ

NPI number1932194677
StatusActive
Last updated in NPPESJan 30, 2025

Details

NPI
1932194677
Entity type
Individual (NPI-1)
Name
Dr. Christopher David Sullivan
Credential
M.D, M.P.H.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 20, 2005
Certification date
Jan 30, 2025
Last updated
Jan 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine56878AZYes
146L00000X Emergency Medical Technician, Paramedic095555PA
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine2009036609MO
2083P0901X Preventive Medicine, Public Health & General Preventive MedicineMD432439PA
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine22041SC
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine0101238689VA

Practice location

5555 W Thunderbird Rd
Glendale, AZ 85306

Phone 602-865-5094 · Fax 888-531-2944

Mailing address

5555 W Thunderbird Rd
Glendale, AZ 85306-4622

Phone 602-865-5094 · Fax 888-531-2944

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