Asthma & Allergy of Idaho Pllc
NPI #1427138734 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1427138734
- Entity Type
- Organization
- Organization Name
- Asthma & Allergy of Idaho Pllc
- Primary Specialty
- Allergy & Immunology - Allergy
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Jan 14, 2021
Practice Location
- Address
- 1502 LOCUST ST N STE 600
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-4164
- Phone
- (208) 734-6091
Authorized Official
- Name
- ANDREW WICKERN
- Title
- CREDENTIALING SPECIALIST
- Phone
- (208) 734-6091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Allergy & Immunology - Allergy — Allergy |
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