# SOUTHWEST ALLERGY INSTITUTE PLLC

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

## Provider details

- **NPI number:** 1295605335
- **Authorized official:** JACOB TYLER MADDUX (MD)
- **Authorized official phone:** (602) 349-0929

## Contact information

- **Practice address:** 1328 E MARCONI AVE, PHOENIX, AZ 85022-3235
- **Practice address phone:** (602) 349-0929
- **Mailing address:** 198877 W UNION HILLS DR, SUITE 200, PEORIA, AZ 85382
- **Mailing address phone:** (602) 349-0929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2025
- **Last updated:** 08/06/2026