is a Allergy & Immunology in Peoria, Arizona. practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for is 1306898846. The last update date is .
's current location address is 13965 N. 75th Avenue, Peoria, Arizona. You can contact this provider via phone number 6028432991 and fax number 6029781226. The mailing address for is 13965 N. 75th Avenue, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 13965 N. 75th Avenue, Peoria, Arizona |
| Phone Number | 6028432991 |
| Fax Number | 6029781226 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306898846 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 13965 N. 75th Avenue |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853816097 |
| Phone Number | 6028432991 |
| Fax Number | 6029781226 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207K00000X |
| Licence No | 36886 |
|
Definition: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 009906261K | HUMANA | ||
| 34552100 | WI | -- |
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