NPI 1215119508

Allergy Asthma & Immunology Services, LLC

Organisation Clinical & Laboratory Immunology (Allergy & Immunology) Physician Jefferson City, MO

Practice location

Address: 1735 Elm Court, Jefferson City, MO 65101-4129
Phone: (573) 638-2012
Fax: (573) 761-4249

Authorised official

Name: Stanley Raymond Horner
Title: Owner/Physician
Phone: (573) 638-2012

Registered specialties (2)

Clinical & Laboratory Immunology (Allergy & Immunology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KI0005X Licence 36946 (MO)

Other Allergy & Immunology providers in Missouri →

Clinical & Laboratory Immunology (Allergy & Immunology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207KI0005X Licence 0340248-22 (MO)

Registry record

NPI: 1215119508
Entity type: Organization
NPI issued: 29 Nov 2007
Record last updated: 22 Jan 2015

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.