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Physicians Allergy & Immunology Allergy

Provider NPI: 1205976867

Organization Information:
Authorized Official:  EDWARD  KERWIN  PHYSICIAN OWNER  541-858-1003

Practice Location:
2262 ASHLAND ST  ASHLAND, OR 97520-1406 US
Tel: 541-858-1003  Fax: 541-857-4499

Business Mailing Address:
Tel: 541-858-1003  Fax: 541-857-4499

NPI Information:
NPI: 1205976867
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Allergy & Immunology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207KA0200X





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