Timothy John Sullivan III, M.D.
Allergy Physician · Ogden, UT
Practice location
4403 Harrison Blvd.Ste 4640
Ogden, UT 84403-3304
- Phone
- (801) 387-4850
- Fax
- (801) 387-4855
NPI record
- NPI
- 1023012911
- Entity type
- Individual (Type 1)
- Enumeration date
- June 8, 2005
- Last updated
- June 3, 2015
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Allergy Physician Primary | 207KA0200X |
8263858-1205 | UT |
| Allergy Physician | 207KA0200X |
037913 | GA |
About Dr. Sullivan
Timothy John Sullivan III, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Allergy Physician (code 207KA0200X). The practice location is 4403 Harrison Blvd., Ste 4640, Ogden, UT 84403-3304. The NPI number 1023012911 was assigned on June 8, 2005 and the record was last updated on June 3, 2015.
Dr. Sullivan lists 2 licenses in the registry: #8263858-1205 (UT) for Allergy Physician; #037913 (GA) for Allergy Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Timothy John Sullivan III, M.D.?
The NPI number is 1023012911.
What is the phone number of Dr. Sullivan?
The phone number listed for the practice location is (801) 387-4850.
Where is Dr. Sullivan located?
4403 Harrison Blvd., Ste 4640, Ogden, UT 84403-3304.
What is the taxonomy code for Dr. Sullivan?
The primary taxonomy code is 207KA0200X – Allergy Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Allergy Physician providers in Ogden
- Vicki J. Lyons, M.D.4403 Harrison Blvd
- Timothy Sullivan, MD PC4403 Harrison Blvd
- Vicki J Lyons MD PC4403 Harrison Blvd