| NPI | 1053584664 |
|---|---|
| Doing Business As | FAMILY ALLERGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | STUART H AGREN President/Owner 4880-827-9945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ AZ15251) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2012-10-17 |