Idaho Allergy & Asthma Clinic Pa in Idaho Falls - Allergy & Immunology
Idaho Allergy & Asthma Clinic Pa - NPI 1003949298
Idaho Allergy & Asthma Clinic Pa is a Allergy & Immunology in Idaho Falls, Idaho. Idaho Allergy & Asthma Clinic Pa practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Idaho Allergy & Asthma Clinic Pa is 1003949298. The last update date is 2019-06-21.
Idaho Allergy & Asthma Clinic Pa's current location address is 3422 S 15th E, Idaho Falls, Idaho. You can contact this provider via phone number 2085299292 and fax number 2085232397. The mailing address for Idaho Allergy & Asthma Clinic Pa is 3422 S 15th E, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Idaho Allergy & Asthma Clinic Pa |
---|---|
Address | 3422 S 15th E, Idaho Falls, Idaho |
Phone Number | 2085299292 |
Fax Number | 2085232397 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Petty E Wendell |
Credentials | M.D. |
Telephone Number | 2085299292 |
NPI Number Detail
NPI Number | 1003949298 |
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Provider Enumeration Date | 2007-03-14 |
Last Updated Date | 2019-06-21 |
Provider Mailing Address Detail
Address | 3422 S 15th E |
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City | Idaho Falls |
State | Idaho (ID) |
Post Code | 834048262 |
Phone Number | 2085299292 |
Fax Number | 2085232397 |
Provider's Primary Taxonomy Detail
Speciality | Allergy & Immunology |
---|---|
Taxonomy | 207K00000X |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8N147 | ID | BLUE CROSS | |
DG4709 | ID | RAILROAD MEDICARE | |
100004631 | ID | BLUE SHIELD | |
2516900 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Idaho Allergy & Asthma Clinic Pa by the Centers for Medicare & Medicaid Services?
The Idaho Allergy & Asthma Clinic Pa has been issued the NPI (National Provider Identifier) 1003949298 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Idaho Allergy & Asthma Clinic Pa?
The Idaho Allergy & Asthma Clinic Pa is situated at 3422 S 15Th E, in the city of Idaho Falls, state of ID, with the zip code 834048262.
What is Idaho Allergy & Asthma Clinic Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Idaho Allergy & Asthma Clinic Pa is Allergy & Immunology, and the taxonomy classification code that categorizes this area of expertise is 207K00000X.
On what date did Idaho Allergy & Asthma Clinic Pa receive its 1003949298 assignment from the Centers for Medicare & Medicaid Services?
The Idaho Allergy & Asthma Clinic Pa was assigned its 1003949298 on 2007-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Idaho Allergy & Asthma Clinic Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Idaho Allergy & Asthma Clinic Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-06-21.
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