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INTERMOUNTAIN ALLERGY & IMMUNOLOGY CLINIC NPI 1841393972


NPI Information

NPI: 1841393972
Provider Name: INTERMOUNTAIN ALLERGY & IMMUNOLOGY CLINIC

Doing Business As: INTERMOUNTAIN ALLERGY & ASTHMA

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
5929 FASHION POINT DR
STE 101
SOUTH OGDEN, UT
ZIP 84403
Phone: (801) 476-0052
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INTERMOUNTAIN ALLERGY & IMMUNOLOGY CLINIC is an allergy immunology in South Ogden, UT. 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. INTERMOUNTAIN ALLERGY & IMMUNOLOGY CLINIC NPI is 1841393972. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Intermountain Allergy & Asthma.

The provider's business location address is:

5929 FASHION POINT DR
STE 101
SOUTH OGDEN, UT
ZIP 84403-672
Phone: (801) 476-0052
Fax: (801) 476-0064

The provider's authorized official is Duane Harris .
The authorized official title is Partner and has the following contact phone number (801) 363-4071.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 1/11/2011.


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 & ImmunologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000055069MEDICARE ID-TYPE UNSPECIFIEDGROUP NUMBER
2DA3060OTHERGROUP RAILROAD MEDICARE

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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