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Physicians Allergy & Immunology

Provider NPI: 1508974841

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 812-479-3153  Fax: 812-473-8166

Business Mailing Address:
PO BOX 1510  EVANSVILLE, IN 47706-1510 US
Tel: 812-479-3153  Fax: 812-473-8166

NPI Information:
NPI: 1508974841
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Allergy & Immunology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207K00000X





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