Intermountain Allergy & Immunology Clinic
NPI #1841393972 in South Ogden, Utah
Provider Information
- NPI Number
- 1841393972
- Entity Type
- Organization
- Organization Name
- Intermountain Allergy & Immunology Clinic
- Primary Specialty
- Allergy & Immunology
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Jan 11, 2011
Practice Location
- Address
- 5929 FASHION POINT DR
- Address 2
- STE 101
- City
- South Ogden
- State
- Utah
- ZIP Code
- 84403-4672
- Phone
- (801) 476-0052
Authorized Official
- Name
- DUANE HARRIS
- Title
- PARTNER
- Phone
- (801) 363-4071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Allergy & Immunology |
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