Healthcare Provider Details

I. General information

NPI: 1326191537
Provider Name (Legal Business Name): ALLERGY ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1570 WOODLAKE DR
CHESTERFIELD MO
63017-5712
US

IV. Provider business mailing address

1570 WOODLAKE DR
CHESTERFIELD MO
63017-5712
US

V. Phone/Fax

Practice location:
  • Phone: 314-878-0996
  • Fax: 314-878-0683
Mailing address:
  • Phone: 314-878-0996
  • Fax: 314-878-0683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMDR9374
License Number StateMO

VIII. Authorized Official

Name: DR. RAND E DANKNER
Title or Position: OWNER
Credential: M.D.
Phone: 314-878-0996