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
Provider Enumeration Date 2007-03-14
Last Updated Date 2019-06-21

Provider Mailing Address Detail

Address 3422 S 15th E
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 --

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FAQs about Idaho Allergy & Asthma Clinic Pa

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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