NPI 1003949298

Idaho Allergy & Asthma Clinic PA

Organisation Allergy & Immunology Physician Idaho Falls, ID

Practice location

Address: 3422 S 15th E, Idaho Falls, ID 83404-8262
Phone: (208) 529-9292
Fax: (208) 523-2397

Authorised official

Name: Wendell E Petty
Title: President
Phone: (208) 529-9292

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X

Other Allergy & Immunology providers in Idaho →

Registry record

NPI: 1003949298
Entity type: Organization
NPI issued: 14 Mar 2007
Record last updated: 21 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.