Organization · Type 2 NPI
Homestead Allergy LLC
Allergy Physician · Bristow, OK
NPI number
1962892224
Active
Practice location
222 N Main St
Bristow, OK 74010-2408
Fax (918) 367-6544
Mailing address
PO Box 839
Bristow, OK 74010-0839
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | None listed |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
Another provider at this address
About NPI 1962892224
Homestead Allergy LLC's National Provider Identifier is 1962892224, issued on Jan 26, 2015. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Bristow, OK. The record was last updated on Jan 26, 2015.