Organization · Type 2 NPI
Allergy Asthma & Immunology Services, LLC
Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Jefferson City, MO
NPI number
1215119508
Active
Practice location
1735 Elm Court
Jefferson City, MO 65101-4129
Fax (573) 761-4249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician Primary | 207KI0005X | 36946 (MO) |
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 207KI0005X | 0340248-22 (MO) |
Clinical & Laboratory Immunology (Allergy & Immunology) Physician: An allergy and immunology physician who specializes in clinical and laboratory immunology disease management..
Another provider at this address
About NPI 1215119508
Allergy Asthma & Immunology Services, LLC's National Provider Identifier is 1215119508, issued on Nov 29, 2007. The primary taxonomy on file is Clinical & Laboratory Immunology (Allergy & Immunology) Physician (207KI0005X), and the practice location is in Jefferson City, MO. The record was last updated on Jan 22, 2015.