| NPI | 1568516318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN G WAGELIE President 520-325-5701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: AZ 6407) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |