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Organization

ALLERGY & ASTHMA CLINIC OF WY LLC

Active
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Organization

ALLERGY & ASTHMA CLINIC OF WY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAMLESH S SHAH MD (PHYSICIAN)
(307) 577-5222
Entity
Organization

Contact information

Practice address
2222 E 2ND ST, CASPER, WY 82609
(307) 577-5222
(307) 577-5225
Mailing address
2222 E 2ND ST, CASPER, WY 82609
(307) 577-5222
(307) 577-5225

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
38777
CO
207K00000X
Allergy & Immunology Physician
Primary
5881A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311846
BCBS
WY
Enumeration date
09/25/2006
Last updated
08/22/2020
About Stedi
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