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CORNERSTONE PEDIATRICS AND FAMILY ALLERGY PLC NPI 1598325151


NPI Information

NPI: 1598325151
Provider Name: CORNERSTONE PEDIATRICS AND FAMILY ALLERGY, PLC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

CLIA Number: 16D2171667

Address:
6800 LAKE DRIVE
#260
WEST DES MONIES, IA
ZIP 50266
Phone: (515) 822-3192
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CORNERSTONE PEDIATRICS AND FAMILY ALLERGY, PLC is an allergy allergy immunology in West Des Monies, IA. CORNERSTONE PEDIATRICS AND FAMILY ALLERGY, PLC NPI is 1598325151. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6800 LAKE DRIVE
#260
WEST DES MONIES, IA
ZIP 50266
Phone: (515) 822-3192

The provider's authorized official is Tara J Federly .
The authorized official title is Owner/physician and has the following contact phone number (952) 546-6866.

The CLIA number assigned to this NPI record is 16D2171667 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/17/2019 and was last updated on 7/30/2020.


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
1207KA0200XAllergy & ImmunologyAllergyYes
2208000000XPediatricsNo

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

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