| Eureka Allergy Clinic | |
|
2505 Lucas St Eureka CA 95501-3340 | |
| (707) 445-3063 | |
| (707) 442-6602 |
| Full Name | Eureka Allergy Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2505 Lucas St, Eureka, California |
| Authorized Official Name and Position | Anne E Tait (CEO) |
| Authorized Official Contact | 7074453063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eureka Allergy Clinic 2505 Lucas St Eureka CA 95501-3340 Ph: (707) 445-3063 | Eureka Allergy Clinic 2505 Lucas St Eureka CA 95501-3340 Ph: (707) 445-3063 |
| NPI Number | 1730284696 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730284696 | NPI | - | NPPES |
| 00G626400 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G62640 (California) | Primary |
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