Healthcare Provider Details

I. General information

NPI: 1972056034
Provider Name (Legal Business Name): ASTHMA & ALLERGY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 05/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7608 N UNION BLVD SUITE D
COLORADO SPRINGS CO
80920-3886
US

IV. Provider business mailing address

2709 N TEJON ST
COLORADO SPRINGS CO
80907-6231
US

V. Phone/Fax

Practice location:
  • Phone: 719-476-0420
  • Fax:
Mailing address:
  • Phone: 719-476-0420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL BYER
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 719-473-0872