NPI 1023012911

Timothy John Sullivan, MD

Practitioner Allergy Physician Ogden, UT

Practice location

Address: 4403 Harrison Blvd. STE 4640, Ogden, UT 84403-3304
Phone: (801) 387-4850
Fax: (801) 387-4855

Registered specialties (2)

Allergy Physician Primary

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

Other Allergy & Immunology providers in Utah →

Allergy Physician

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 037913 (GA)

Registry record

NPI: 1023012911
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2005
Record last updated: 3 Jun 2015

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.