# INDIANA INSTITUTE OF IMMUNOLOGY, ALLERGY AND ASTHMA, PC

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

## Provider details

- **NPI number:** 1770756009
- **Authorized official:** DR. DAMIR MATESIC MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (765) 450-6396

## Contact information

- **Practice address:** 2216 W ALTO RD, KOKOMO, IN 46902-4840
- **Practice address phone:** (765) 450-6396
- **Practice address fax:** (765) 450-6354
- **Mailing address:** 2216 W ALTO RD, KOKOMO, IN 46902-4840
- **Mailing address phone:** (765) 450-6396
- **Mailing address fax:** (765) 450-6354

## Taxonomy

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

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 04/07/2014