Timothy Sullivan, MD PC

Allergy Physician · Ogden, UT

Organization Active NPI

NPI number 1548513799

Practice location

4403 Harrison Blvd
Ste# 4640
Ogden, UT 84403-3271
Phone
(801) 387-4850
Fax
(801) 387-4855

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NPI record

NPI
1548513799
Entity type
Organization (Type 2)
Enumeration date
October 24, 2012
Last updated
October 24, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Allergy Physician Primary 207KA0200X 8263858-1205 UT

Authorized official

Name
Dr. Timothy J Sullivan III, M.D.
Title
Medical Doctor
Phone
(801) 387-4850

About Timothy Sullivan, MD PC

Timothy Sullivan, MD PC is a healthcare organization registered in the NPI registry with the primary taxonomy Allergy Physician (code 207KA0200X). The practice location is 4403 Harrison Blvd, Ste# 4640, Ogden, UT 84403-3271. The NPI number 1548513799 was assigned on October 24, 2012 and the record was last updated on October 24, 2012.

Timothy Sullivan, MD PC lists a license in the registry: #8263858-1205 (UT) for Allergy Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Timothy J Sullivan III, M.D., Medical Doctor.

Frequently asked questions

What is the NPI number of Timothy Sullivan, MD PC?

The NPI number is 1548513799.

What is the phone number of Timothy Sullivan, MD PC?

The phone number listed for the practice location is (801) 387-4850.

Where is Timothy Sullivan, MD PC located?

4403 Harrison Blvd, Ste# 4640, Ogden, UT 84403-3271.

What is the taxonomy code for Timothy Sullivan, MD PC?

The primary taxonomy code is 207KA0200X – Allergy Physician.

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.

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