TIMOTHY SULLIVAN, MD PC; NPI #1548513799

Contact Information

TIMOTHY SULLIVAN, MD PC

4403 HARRISON BLVD
STE# 4640
OGDEN, UT 84403-3271

Phone: 801-387-4850
Fax: 801-387-4855
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Allergy	207KA0200X	03	Physician/Allergy/ Immunology

Indicates primary specialty

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NPI Profile & details for TIMOTHY SULLIVAN, MD PC

NPI Number 1548513799

LBN Legal business name TIMOTHY SULLIVAN, MD PC

Authorized official TIMOTHY SULLIVAN - (MEDICAL DOCTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/24/2012

Last updated 10/24/2012 - About 14 years ago

Identifiers

License #

8263858-1205

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TIMOTHY SULLIVAN, MD PC

Contact Information

Specialty

Allergy

NPI Profile & details for TIMOTHY SULLIVAN, MD PC

Reviews for TIMOTHY SULLIVAN, MD PC