Organization
ALLERGY & ASTHMA CARE OF SEDONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY M GOODMAN (PHYSICIAN OWNER)
(314) 569-1881
Entity
Organization
Contact information
Practice address
450 S WILLARD ST STE 101, COTTONWOOD, AZ 86326-6744
(928) 284-0166
(928) 284-1810
Mailing address
9 N EUCLID AVE UNIT 404, SAINT LOUIS, MO 63108-1482
(928) 284-0166
(888) 435-3534
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
30297
AZ
Other
Enumeration date
10/23/2007
Last updated
01/17/2023
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