ARKANSAS ALLERGY & ASTHMA CLINIC, P.A.
Allergy and Immunology
Conway, Arkansas
Provider NPI: 1609837459
Organization Information:Organization Name: ARKANSAS ALLERGY & ASTHMA CLINIC, P.A.
Practice Location:
400 SALEM RD SUITE 4 CONWAY, AR 72034 US
Tel: 501-329-0237 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
400 SALEM RD SUITE 4 CONWAY, AR 72034 US
Tel: 501-329-0237 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 104277002 | AR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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