MEDICARE: ASTHMA & ALLERGY ASSOCIATES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207K00000X	Allergy & Immunology Physician
2	207R00000X	Internal Medicine Physician
3	207RA0201X	Allergy & Immunology (Internal Medicine) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386241008
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTHMA & ALLERGY ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	2709 N TEJON ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-6231
Country	:	US
Telephone Number	:	719-473-0872
Fax Number	:	719-630-3658

Provider Business Practice Location Address
First Line	:	1332 BAUER LN
Second Line	:
City	:	CANON CITY
State	:	CO
Zip	:	81212-4669
Country	:	US
Telephone Number	:	800-533-3900
Fax Number	:	719-630-3658

Authorized Official
Title or Position	:	PATIENT ACCOUNTS COORDINATOR
Name	:	ALEJANDRA SPAULDING
Credential	:
Telephone Number	:	719-473-1800

Provider Enumeration Date	:	10/06/2020
Last Update Date	:	10/06/2020

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