| NPI | 1104946789 |
|---|---|
| Doing Business As | ADVANCED ALLERGY & HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSEPH E BEATY Billing Agent 907-770-2301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |