IDAHO ALLERGY & ASTHMA CLINIC PA

IDAHO FALLS, ID
NPI1003949298
Entity TypeOrganization
Authorized ContactWENDELL E PETTY
President
208-529-9292
Organization Subpart ?No
Primary Taxonomy207K00000X Allergy & Immunology
Enumeration Date2007-03-14
Last Update Date2019-06-21
Business Address
IDAHO ALLERGY & ASTHMA CLINIC PA
3422 S 15TH E
IDAHO FALLS, ID 83404-8262
Phone number: 208-529-9292
Mailing Address
IDAHO ALLERGY & ASTHMA CLINIC PA
3422 S 15TH E
IDAHO FALLS, ID 83404-8262
Phone number: 208-529-9292
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