| NPI | 1962892224 |
|---|---|
| Doing Business As | HOMESTEAD ALLERGY |
| Entity Type | Organization |
| Authorized Contact | RICHARD W SCHAFER Owner 918-960-1751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |