Organization · Type 2 NPI

Ccent & FPS

Allergy & Immunology Physician · Lakeside, AR

NPI number 1467629469 Active

Practice location

300 W White Mountain Blvd, Suite D
Lakeside, AR 85929-6533

Mailing address

1340 N Rim Drive
Flagstaff, AZ 86001-1311

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician Primary 207K00000X3000 (AZ)
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X3000 (AZ)

Allergy & Immunology Physician: 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 to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune dise…

4 other providers at this address

About NPI 1467629469

Ccent & FPS's National Provider Identifier is 1467629469, issued on May 9, 2008. The primary taxonomy on file is Allergy & Immunology Physician (207K00000X), and the practice location is in Lakeside, AR. The record was last updated on May 9, 2008.