# GARY INCAUDO M D INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Allergy Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336158302
- **Authorized official:** GARY A INCAUDO MD (OWNER PRESIDENT)
- **Authorized official phone:** (530) 896-2200

## Contact information

- **Practice address:** STE 110, 145 MISSION RANCH BLVD, CHICO, CA 95926-2175
- **Practice address phone:** (530) 896-2200
- **Practice address fax:** (530) 896-2209
- **Mailing address:** STE 110, 145 MISSION RANCH BLVD, CHICO, CA 95926-2175
- **Mailing address phone:** (530) 896-2200
- **Mailing address fax:** (530) 896-2209

## Taxonomy

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

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 12/15/2008