| NPI | 1467401430 |
|---|---|
| Doing Business As | CAPITOL ALLERGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | PEDRO N BANDA President 414-442-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: WI 16227) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2008-06-12 |