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ALLERGY AND INFUSION SERVICES OF MISSOULA PLLC NPI 1477661874


NPI Information

NPI: 1477661874
Provider Name: ALLERGY AND INFUSION SERVICES OF MISSOULA, PLLC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 27D0410829

Address:
2825 FORT MISSOULA RD
SUITE 317C
MISSOULA, MT
ZIP 59804
Phone: (406) 728-5428
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ALLERGY AND INFUSION SERVICES OF MISSOULA, PLLC is an allergy immunology in Missoula, MT. The provider is 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 disease, organ transplantation, or malignancies of the immune system. ALLERGY AND INFUSION SERVICES OF MISSOULA, PLLC NPI is 1477661874. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2825 FORT MISSOULA RD
SUITE 317C
MISSOULA, MT
ZIP 59804-420
Phone: (406) 728-5428
Fax: (406) 728-5458

The provider's authorized official is Ward S Dewitt .
The authorized official title is Owner/md and has the following contact phone number (406) 728-5428.

The CLIA number assigned to this NPI record is 27D0410829 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & Immunology7276MONTANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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