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Organization
ALLERY AND ASTHMA CENTER OF ARIZONA PLC
Active
Organization
ALLERY AND ASTHMA CENTER OF ARIZONA PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAO RAJ KOSARAJU MD (OWNER)
(480) 855-0664
Entity
Organization
Contact information
Practice address
633 E RAY RD, 101, GILBERT, AZ 85296-4200
(480) 855-0664
(480) 222-4684
Mailing address
633 E RAY RD, 101, GILBERT, AZ 85296-4200
(480) 855-0664
(480) 222-4684
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
43123
AZ
Other
Enumeration date
06/26/2010
Last updated
10/21/2010
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