Individual provider · Type 1 NPI
Eddie Leon Gaines, MD
Allergy Physician · Anthem, AZ
NPI number
1942268156
Active
Practice location
42145 N Fairgreen Ct
Anthem, AZ 85086-1066
Mailing address
3800 E Lohman Ave
Las Cruces, NM 88011-8273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | 94250 (NM) |
| Allergy Physician Primary | 207KA0200X | 94250 (NM) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
About NPI 1942268156
Eddie Leon Gaines, MD's National Provider Identifier is 1942268156, issued on May 4, 2006. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Anthem, AZ. The record was last updated on Mar 27, 2019.