ALLERGY ASSOCIATES OF TUCSON PC NPI 1568516318

NPI Information

NPI: 1568516318
Provider Name: ALLERGY ASSOCIATES OF TUCSON PC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

CLIA Number: 03D2084790

Address:
2960 N COUNTRY CLUB RD
TUCSON, AZ
ZIP 85716
Phone: (520) 325-5701
Get Directions

ALLERGY ASSOCIATES OF TUCSON PC is an allergy allergy immunology in Tucson, AZ. ALLERGY ASSOCIATES OF TUCSON PC NPI is 1568516318. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2960 N COUNTRY CLUB RD
TUCSON, AZ
ZIP 85716-912
Phone: (520) 325-5701

The provider's authorized official is Reuben G Wagelie .
The authorized official title is President and has the following contact phone number (520) 325-5701.

The CLIA number assigned to this NPI record is 03D2084790 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/22/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207KA0200X	Allergy & Immunology	Allergy	6407	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	206905	MEDICAID	ARIZONA

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: 11/14/2023

NPI Synchronization or Removal

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