| Triton Health Elder Care Llc | |
|
305 N Thornton St Vian OK 74962-5088 | |
| (918) 773-5228 | |
| Not Available |
| Full Name | Triton Health Elder Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 305 N Thornton St, Vian, Oklahoma |
| Authorized Official Name and Position | Cary Patrick Sullivan (MD/OWNER) |
| Authorized Official Contact | 9187735228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triton Health Elder Care Llc Po Box 446 Vian OK 74962-0446 Ph: () - | Triton Health Elder Care Llc 305 N Thornton St Vian OK 74962-5088 Ph: (918) 773-5228 |
| NPI Number | 1619710787 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619710787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
C. Patrick Sullivan,do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 North Thornton, Vian, OK 74962 Phone: 918-773-5228 Fax: 918-773-8482 | |
Triton Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 128 W. Main Street, Vian, OK 74962 Phone: 918-773-5228 Fax: 918-773-8482 | |
Osu-aj Triton Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 West Main, Vian, OK 74962 Phone: 918-773-5228 Fax: 918-773-8482 |