IndividualActive
Thomas Sullivan, M.D.
NPI 1508895988 · Colon & Rectal Surgery Physician · Mena, AR
Provider details
- NPI number
- 1508895988
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A41748 (CA)
Practice location
400 Crestwood Cir
Suite L
Mena, AR 71953-5511
Phone: (479) 394-1414
Fax: (479) 394-2612
Mailing address
311 Morrow St N
Mena, AR 71953-2516
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2012-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.