# ARIZONA ALLERGY AND ASTHMA SPECIALISTS PC

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

## Provider details

- **NPI number:** 1083111603
- **Authorized official:** MR. BRIAN WADE MILLHOLLON MD (MD)
- **Authorized official phone:** (480) 705-8844

## Contact information

- **Practice address:** 16611 S 40TH ST STE 170, PHOENIX, AZ 85048-0565
- **Practice address phone:** (480) 705-8844
- **Practice address fax:** (480) 705-8838
- **Mailing address:** 16611 S 40TH ST STE 170, PHOENIX, AZ 85048-0565
- **Mailing address phone:** (480) 705-8844
- **Mailing address fax:** (480) 705-8838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 21604 | AZ | Yes |

## Other

- **Enumeration date:** 04/10/2018
- **Last updated:** 04/10/2018