Intermountain Allergy & Immunology Clinic

NPI 1215030325 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1215030325
Enumeration Date 09/06/2006
Last Updated 02/20/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DUANE DUANE
Position PARTNER
Phone (801) 553-1900
Fax (801) 553-9995
Practice Location
12422 S 450 E
SUITE C
DRAPER UT, 84020-8050, US
Phone (801) 553-1900
Fax (801) 553-9995
Business Location
12422 S 450 E
SUITE C
DRAPER UT, 84020-8050, US
Phone (801) 553-1900
Fax (801) 553-9995
Toxanomy
Taxonomy Code 207K00000X
License State
License Number
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According to our database, Intermountain Allergy & Immunology Clinic NPI is 1215030325, taxonomy code is 207K00000X Intermountain Allergy & Immunology Clinic physically located at 12422 S 450 E, Draper UT, 84020-8050. NPI Number 1033115704 has the healthcare provider type.

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1215030325 NPI number is provided on an as is basis without warranty of any kind. 1215030325 is maintained by the National Plan & Provider Enumeration System. The contents of Intermountain Allergy & Immunology Clinic are for informational purposes only.