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NPI Profile for MODERN ALLERGY in PARKER, CO.
A physician who specializes in the diagnosis, treatment, and management of allergies.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Allergy |
207KA0200X | 03 | Physician/Allergy/ Immunology | |
Allergy & Immunology |
207K00000X | 03 | Physician/Allergy/ Immunology | |
Clinical & Laboratory Immunology |
207KI0005X | 03 | Physician/Allergy/ Immunology |
| NPI # | 1548620875 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/29/2016 | |
| Last updated | 02/29/2016 - About 10 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MODERN ALLERGY
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MODERN ALLERGY