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 |
| NPI Number | 1144648213 |
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| LBN Legal business name | GOURLEY ALLERGY & ASTHMA PC | ||||
| Authorized official | DAVIDS GOURLEY - (MANAGING MEMBER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/04/2014 | ||||
| Last updated | 04/04/2014 - About 12 years ago | ||||
| Identifiers |
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GOURLEY ALLERGY & ASTHMA PC
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