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:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology

Other Provider Identifiers:

Issuer	Number	State	Type
	104277002	AR	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin