Individual provider · Type 1 NPI

Tim Sullivan, MD

Pediatrics Physician · Sonora, CA

NPI number 1750481099 Active · reactivated Jul 29, 2019

Practice location

12791 Cabezut Rd
Sonora, CA 95370-5926

Fax (209) 532-1513

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician	208000000X	34411 (IA)
Pediatrics Physician Primary	208000000X	C55917 (CA)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1750481099

Tim Sullivan, MD's National Provider Identifier is 1750481099, issued on Sep 25, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Sonora, CA. The record was last updated on Jul 29, 2019.