Cornerstone Pediatrics and Family Allergy, Plc
NPI #1598325151 in West Des Monies, Iowa
Provider Information
- NPI Number
- 1598325151
- Entity Type
- Organization
- Organization Name
- Cornerstone Pediatrics and Family Allergy, Plc
- Primary Specialty
- Allergy & Immunology - Allergy
- Enumeration Date
- Jun 17, 2019
- Last Updated
- Jul 30, 2020
Practice Location
- Address
- 6800 LAKE DRIVE
- Address 2
- #260
- City
- West Des Monies
- State
- Iowa
- ZIP Code
- 50266
- Phone
- (515) 822-3192
Authorized Official
- Name
- DR. TARA J FEDERLY
- Title
- OWNER/PHYSICIAN
- Phone
- (952) 546-6866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Allergy & Immunology - Allergy — Allergy |
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