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Organization

TIMOTHY SULLIVAN, MD PC

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Organization

TIMOTHY SULLIVAN, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY J SULLIVAN III M.D. (MEDICAL DOCTOR)
(801) 387-4850
Entity
Organization

Contact information

Practice address
4403 HARRISON BLVD, STE# 4640, OGDEN, UT 84403-3271
(801) 387-4850
(801) 387-4855
Mailing address
4403 HARRISON BLVD, STE# 4640, OGDEN, UT 84403-3271
(801) 387-4850
(801) 387-4855

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
8263858-1205
UT

Other

Enumeration date
10/24/2012
Last updated
10/24/2012
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