Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Philip Sullivan, MD

Individual provider Psychiatry Physician · NPI 1790830792

Dr. Philip Sullivan, MD is a Psychiatry Physician in Evanston, Wyoming. Licensed in Wyoming. Registered with an NPI since 2007.

Licensed in
WY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

831 State Highway 150 S
Evanston, WY 82930-5340
Phone: (307) 789-3464
Fax: (307) 789-7373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 5348A (WY)

Record details

NPI number1790830792
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 23, 2007
Last updated in NPPESAugust 5, 2011
Mailing addressPo Box 177, Evanston, WY 82931-0177

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