| NPI | 1659414597 |
|---|---|
| Former Legal Business Name | MIDWEST ALLERGY & ASTHMA CLINIC, INC. |
| Entity Type | Organization |
| Authorized Contact | STEVEN WHITE Practice Administrator 402-397-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology | |
| 2080P0214X Pediatrics Pediatric Pulmonology | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2024-07-03 |