Healthcare Provider Details

I. General information

NPI: 1619023330
Provider Name (Legal Business Name): ALLERGY & ASTHMA CONSULTANTS OF THE OZARKS LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 A. EAST RUSSELL AVE. SUITE 3
WARRENSBURG MO
64093
US

IV. Provider business mailing address

407 A. EAST RUSSELL AVENUE SUITE 3
WARRENSBURG MO
64093
US

V. Phone/Fax

Practice location:
  • Phone: 660-422-7000
  • Fax: 660-747-0409
Mailing address:
  • Phone: 660-422-7000
  • Fax: 660-747-0409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. WILLIAM E STRICKER
Title or Position: PRESIDENT
Credential:
Phone: 660-422-7000