Arizona Allergy And Asthma Specialists P C | |
16611 S 40th St Suite 170 Phoenix AZ 85048-0562 | |
(480) 705-8844 | |
(480) 705-8838 |
Full Name | Arizona Allergy And Asthma Specialists P C |
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Speciality | Clinic/Center |
Location | 16611 S 40th St, Phoenix, Arizona |
Authorized Official Name and Position | Brian Wade Millhollon (DOCTOR/PRESIDENT) |
Authorized Official Contact | 4807058844 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Arizona Allergy And Asthma Specialists P C 16611 S 40th St Suite 170 Phoenix AZ 85048-0562 Ph: (480) 705-8844 | Arizona Allergy And Asthma Specialists P C 16611 S 40th St Suite 170 Phoenix AZ 85048-0562 Ph: (480) 705-8844 |
NPI Number | 1831557321 |
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Provider Enumeration Date | 01/29/2016 |
Last Update Date | 10/29/2021 |
Medicare PECOS PAC ID | 8729343231 |
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Medicare Enrollment ID | O20180605001131 |
Identifier | Type | State | Issuer |
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1831557321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 21604 (Arizona) | Primary |
Provider Name | Brian W Millhollon |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1841212693 PECOS PAC ID: 6002841921 Enrollment ID: I20050929000445 |
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