| NPI | 1952166126 |
|---|---|
| Doing Business As | ALLERGY 123 CLINIC |
| Entity Type | Organization |
| Authorized Contact | NEIL WILKEY Sole Mbr 719-679-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2025-01-07 |