Organization Name: | ALLERGY AND ASTHMA CARE, PA |
NPI Number: | 1003827197 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD MORRIS (PRESIDENT) |
Mailing Address: | 12000 Elm Creek Blvd N Suite 200 Maple Grove |
State: | MN US |
Postal Code: | 553697073 |
Phone Number: | 7634201010 |
Fax Number: | 7634203710 |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |