IndividualActive
Philip Sullivan, M.D.
NPI 1790830792 · Psychiatry Physician · Evanston, WY
Provider details
- NPI number
- 1790830792
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 5348A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
831 State Highway 150 S
Evanston, WY 82930-5340
Phone: (307) 789-3464
Fax: (307) 789-7373
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 177
Evanston, WY 82931-0177
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2011-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.