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Organization
PLEASANTON ALLERGY AND DERMATOLOGY INC
Active
Organization
PLEASANTON ALLERGY AND DERMATOLOGY INC
Active
Other names
Livermore Allergy Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH LYNN COWAN M.D. (OWNER/OPERATOR)
(925) 846-5100
Entity
Organization
Contact information
Practice address
2324 SANTA RITA RD STE 2, PLEASANTON, CA 94566-4150
(925) 846-5100
(925) 846-1982
Mailing address
2324 SANTA RITA RD STE 2, PLEASANTON, CA 94566-4150
(925) 846-5100
(925) 846-1982
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A66278
CA
174400000X
Specialist
A85841
CA
174400000X
Specialist
G62905
CA
174400000X
Specialist
G8589
CA
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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