National Provider Identifier Database

PARADISE VALLEY ALLERGY ASSOC LTD
Allergy

A physician who specializes in the diagnosis, treatment, and management of allergies.


Contact Information

PARADISE VALLEY ALLERGY ASSOC LTD
20940 N TATUM BLVD
STE 205
PHOENIX, AZ85050-7260
Phone: 480-991-1930
Fax: 480-443-8196
Website:
Specialty Taxonomy Code
* Allergy 207KA0200X
Pediatric Allergy/Immunology 2080P0201X

* Indicates primary specialty

NPI Profile & details for PARADISE VALLEY ALLERGY ASSOC LTD

NPI Number 1356414346
Legal business name
LBN
PARADISE VALLEY ALLERGY ASSOC LTD
Authorized official RICHARD KEIGHTLEY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/16/2006
Last updated 03/14/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 11856
  • AZ Other: 2572627 AETNA HMO
  • AZ Other: 4022160 AETNA PPO
  • AZ Other: AZ0027920 BCBS
  • AZ Other: 1Z2992 HEALTHNET
  • AZ Other: 0200027 UNITED HEATH CARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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