person
Dr. Timothy John Sullivan III, MD
Allergy Physician in Ogden, Utah
NPI 1023012911

Timothy John Sullivan III is an Allergy Physician based in Ogden, UT and is specialized in Allergy. Timothy John Sullivan III practices in Ogden, UT and has the professional credentials of MD. The NPI Number for Timothy John Sullivan III is 1023012911 and holds a License No. 037913 (Utah).

The current practice location address for Timothy John Sullivan III is 4403 Harrison Blvd., Ogden, UT and can be reached out via phone at 801-387-4850 and via fax at 801-387-4855.

Location: 4403 Harrison Blvd., Ogden, UT, 84403-3304
person
Provider Profile Details
NPI Number
1023012911
Provider Name
Timothy John Sullivan III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4403 Harrison Blvd., Ogden, UT, 84403-3304
Phone Number
801-387-4850
Fax Number
801-387-4855
Provider Enumeration Date
06/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00570996C 05 GA
00570996F 05 GA
institution
Provider Business Practice Location Address Details
Address
4403 Harrison Blvd.
City
State
Zip
84403-3304
Phone Number
801-387-4850
Fax Number
801-387-4855
person
Provider Business Mailing Address Details
Address
4403 Harrison Blvd.
City
State
Zip
84403-3304
Phone Number
801-387-4850
Fax Number
801-387-4855
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
037913 (Georgia)
Definition
Definition to come...
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