NPI 1164532024

Allergy and Asthma Consultants of the Ozark,ltd

Organisation Allergy Physician Jefferson City, MO

Practice location

Address: 1233 Jefferson St, Jefferson City, MO 65109-2469
Phone: (573) 634-7000

Authorised official

Name: Mark Lewis Vandewalker
Title: Physician
Phone: (573) 634-7000

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence R2F17 (MO)

Other Allergy & Immunology providers in Missouri →

Registry record

NPI: 1164532024
Entity type: Organization
NPI issued: 30 Aug 2006
Record last updated: 3 Oct 2007

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.