| NPI | 1356374516 |
|---|---|
| Other Name | ALLERGY SHORE DRIVE |
| Entity Type | Organization |
| Authorized Contact | KATHY BARNETT Assist. Executive Dire 317-924-8208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |