# ALLERGY & ASTHMA CARE OF SEDONA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053500207
- **Authorized official:** GARY M GOODMAN (PHYSICIAN OWNER)
- **Authorized official phone:** (314) 569-1881

## Contact information

- **Practice address:** 450 S WILLARD ST STE 101, COTTONWOOD, AZ 86326-6744
- **Practice address phone:** (928) 284-0166
- **Practice address fax:** (928) 284-1810
- **Mailing address:** 9 N EUCLID AVE UNIT 404, SAINT LOUIS, MO 63108-1482
- **Mailing address phone:** (928) 284-0166
- **Mailing address fax:** (888) 435-3534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 30297 | AZ | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 01/17/2023