ASTHMA & ALLERGY OF IDAHO PLLC NPI 1427138734

NPI Information

ASTHMA & ALLERGY OF IDAHO PLLC is an allergy allergy immunology in Twin Falls, ID. ASTHMA & ALLERGY OF IDAHO PLLC NPI is 1427138734. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1502 LOCUST ST N STE 600
TWIN FALLS, ID
ZIP 83301-164
Phone: (208) 734-6091
Fax: (208) 734-4654

The provider's authorized official is Andrew Wickern .
The authorized official title is Credentialing Specialist and has the following contact phone number (208) 734-6091.

The CLIA number assigned to this NPI record is 13D0672553 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 1/14/2021.

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:

Other Identifiers

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