Organization · Type 2 NPI
Idaho Allergy L.l.c.
Allergy Physician · Eagle, ID
NPI number
1477866606
Active
Practice location
379 E Shore Dr, Suite 100
Eagle, ID 83616-5410
Fax (208) 938-3553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | M103 (ID) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
About NPI 1477866606
Idaho Allergy L.l.c.'s National Provider Identifier is 1477866606, issued on Jul 16, 2010. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Eagle, ID. The record was last updated on Jun 17, 2016.