Timothy John Sullivan III M.D.

NPI 1023012911 - Allergy & Immunology - 207KA0200X

NPI Details
NPI 1023012911
Gender Male
Enumeration Date 06/08/2005
Last Updated 06/03/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
4403 HARRISON BLVD.
STE 4640
OGDEN UT, 84403-3304, US
Phone (801) 387-4850
Fax (801) 387-4855
Business Location
4403 HARRISON BLVD.
STE 4640
OGDEN UT, 84403-3304, US
Phone (801) 387-4850
Fax (801) 387-4855
Toxanomy
Taxonomy Code 207KA0200X
License State Georgia
License Number 037913
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According to our database, Dr. Timothy John Sullivan III M.D. NPI is 1023012911, taxonomy code is 207KA0200X and license number is 037913, license state is located at Georgia. Timothy John Sullivan III M.D. physically located at 4403 Harrison Blvd., Ogden UT, 84403-3304. NPI Number Timothy John Sullivan III M.D. has the Individual type.

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1023012911 NPI number is provided on an as is basis without warranty of any kind. 1023012911 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy John Sullivan III M.D. are for informational purposes only.