TIMOTHY SULLIVAN MD PC NPI 1548513799

NPI Information

TIMOTHY SULLIVAN, MD PC is an allergy allergy immunology in Ogden, UT. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee TIMOTHY SULLIVAN, MD PC NPI is 1548513799. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4403 HARRISON BLVD
STE# 4640
OGDEN, UT
ZIP 84403-271
Phone: (801) 387-4850
Fax: (801) 387-4855

The provider's authorized official is Timothy J Sullivan .
The authorized official title is Medical Doctor and has the following contact phone number (801) 387-4850.

The enumeration date for this NPI number is 10/24/2012 and was last updated on 10/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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