PARADISE VALLEY ALLERGY ASSOC LTD; NPI #1356414346

Contact Information

PARADISE VALLEY ALLERGY ASSOC LTD

20940 N TATUM BLVD
STE 205
PHOENIX, AZ 85050-7260

Phone: 480-991-1930
Fax: 480-443-8196
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Allergy	207KA0200X	03	Physician/Allergy/ Immunology
Pediatric Allergy/Immunology	2080P0201X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for PARADISE VALLEY ALLERGY ASSOC LTD

NPI Number 1356414346

LBN Legal business name PARADISE VALLEY ALLERGY ASSOC LTD

Authorized official RICHARD KEIGHTLEY - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/16/2006

Last updated 03/14/2012 - About 14 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PARADISE VALLEY ALLERGY ASSOC LTD

Contact Information

Specialty

Allergy

Pediatric Allergy/Immunology

NPI Profile & details for PARADISE VALLEY ALLERGY ASSOC LTD

Reviews for PARADISE VALLEY ALLERGY ASSOC LTD