NPI 1548513799

Timothy Sullivan, MD PC

Organisation Allergy Physician Ogden, UT

Practice location

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

Authorised official

Name: Timothy J Sullivan
Title: Medical Doctor
Phone: (801) 387-4850

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 8263858-1205 (UT)

Other Allergy & Immunology providers in Utah →

Registry record

NPI: 1548513799
Entity type: Organization
NPI issued: 24 Oct 2012
Record last updated: 24 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.