Provider Demographics
NPI:1750803748
Name:SULLIVAN, CHRISTOPHER (DPM)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:SULLIVAN
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9976 HEATHERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-8102
Mailing Address - Country:US
Mailing Address - Phone:303-225-3391
Mailing Address - Fax:
Practice Address - Street 1:9976 HEATHERWOOD LN
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-8102
Practice Address - Country:US
Practice Address - Phone:303-225-3391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPOD-000960213ES0103X
COPOD.0000913213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery