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

Mark Stover Sullivan, MD

Individual provider Dermatology Physician · NPI 1073595377

Mark Stover Sullivan, MD is a Dermatology Physician in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3366 NW Expy Ste 720
Oklahoma City, OK 73112-4462
Phone: (405) 947-0676
Fax: (405) 945-4876
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 8667 (OK)

Record details

NPI number1073595377
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 14, 2005
Last updated in NPPESAugust 8, 2008

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