Advanced Allergy And Asthma Of Virginia

NPI 1104157114 - Allergy & Immunology - 207KA0200X

NPI Details
NPI 1104157114
Enumeration Date 01/15/2010
Last Updated 05/21/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name BARRY KEITH BARRY
Position PRESIDENT
Phone (804) 739-9005
Fax
Practice Location
5924 HARBOUR PARK DR
MIDLOTHIAN VA, 23112-2163, US
Phone (804) 739-9005
Fax
Business Location
5924 HARBOUR PARK DR
MIDLOTHIAN VA, 23112-2163, US
Phone (804) 739-9005
Fax
Toxanomy
Taxonomy Code 207KA0200X
License State Virginia
License Number 0101038621
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According to our database, Advanced Allergy And Asthma Of Virginia NPI is 1104157114, taxonomy code is 207KA0200X and license number is 0101038621, license state is located at Virginia. Advanced Allergy And Asthma Of Virginia physically located at 5924 Harbour Park Dr, Midlothian VA, 23112-2163. NPI Number 1033115704 has the healthcare provider type.

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1104157114 NPI number is provided on an as is basis without warranty of any kind. 1104157114 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Allergy And Asthma Of Virginia are for informational purposes only.