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NPI Profile for PREMIUM ALLERGY in FRESNO, CA.
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Allergy & Immunology |
207RA0201X | 11 | Physician/Internal Medicine | |
Pediatric Allergy/Immunology |
2080P0201X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1497511208 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/28/2024 | |
| Last updated | 02/28/2024 - About 2 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PREMIUM ALLERGY
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PREMIUM ALLERGY