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NPI Code Detail

MEDICARE: ALLERGY ASSOCIATES PC

MEDICARE: ALLERGY ASSOCIATES PC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology PhysicianIN

Other Identifiers

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

General Provider Information

NPI Number : 1740494079
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLERGY ASSOCIATES PC
Provider Business Mailing Address
First Line : 815 SCHNIER STREET
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-2619
Country : US
Telephone Number : 812-378-3131
Fax Number : 812-379-9251
Provider Business Practice Location Address
First Line : 815 SCHNIER STREET
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-2619
Country : US
Telephone Number : 812-378-3131
Fax Number : 812-379-9251
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBERT W PETRY
Credential : M.D.
Telephone Number : 812-378-3131
Provider Enumeration Date : 05/09/2007
Last Update Date : 07/15/2008

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Directions to “ALLERGY ASSOCIATES PC ” Practice Location

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