Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY JOHN SULLIVAN III, M.D.
Active Sole ProprietorDR. TIMOTHY JOHN SULLIVAN III, M.D. is a Allergy healthcare provider located in OGDEN, Utah. NPI 1023012911 is currently active in the NPPES registry. Verify at CMS.
Allergy · OGDEN, UT
Registration Details
- NPI Number
- 1023012911
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2005 (21.182885476163 yrs)
- Last Updated
- Jun 3, 2015
- Licenses
-
037913 (GA)8263858-1205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4403 HARRISON BLVD.STE 4640OGDEN, UT, 844033304Browse UT providers · Browse ZIP 84403
- Phone
- 8013874850
- Fax
- 8013874855
- Primary Specialty
-
Allergy
207KA0200X
- Additional Specialty
- Allergy
Other Allergy Providers in OGDEN, UT
| Name | Credential | NPI |
|---|---|---|
| VICKI J LYONS | M.D. | 1326013574 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.