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Organization
ALLERGY & ASTHMA CENTER, LLC
Active
Organization
ALLERGY & ASTHMA CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GRUBBE RN (ADMINISTRATOR)
(256) 835-1909
Entity
Organization
Contact information
Practice address
912 SNOW ST, OXFORD, AL 36203-1214
(256) 835-1909
(256) 835-1610
Mailing address
PO BOX 7190, OXFORD, AL 36203-7190
(256) 835-1909
(256) 835-1610
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000045597
—
AL
01
—
51045597
BLUECROSS AND BLUESHIELD
AL
05
—
529900520
—
AL
01
—
DN4865
RAILROAD MEDICARE
AL
Enumeration date
12/21/2006
Last updated
01/12/2009
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