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Organization
CENTERS FOR ALLERGY, ASTHMA AND IMMUNE DISORDERS PC
Active
Organization
CENTERS FOR ALLERGY, ASTHMA AND IMMUNE DISORDERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO MIR GARCIA PERALTA M.D. (PRESIDENT)
(515) 570-0595
Entity
Organization
Contact information
Practice address
804 KENYON RD, FORT DODGE, IA 50501-5742
(515) 574-6830
(515) 574-6097
Mailing address
804 KENYON RD, FORT DODGE, IA 50501-5742
(515) 574-6830
(515) 574-6097
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
29873
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3179507
—
IA
Enumeration date
07/27/2016
Last updated
07/27/2016
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