Organization
ASTHMA & ALLERGY CENTER OF THE NORTHERN SHENANDOAH VALLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CLARKSON MCQUEEN M.D. (PRESIDENT)
(540) 662-9115
Entity
Organization
Contact information
Practice address
1828 W PLAZA DR, WINCHESTER, VA 22601-6365
(540) 662-9115
(540) 665-0411
Mailing address
1828 W PLAZA DR, WINCHESTER, VA 22601-6365
(540) 662-9115
(540) 665-0411
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001709029
MOUNTAIN STATE BCBS
VA
01
—
001709030
MOUNTAIN STATE BCBS
WV
01
—
06065
ANTHEM BCBS
VA
01
—
104849
OPTIMA/SENTARA
VA
01
—
2119340ML2
MAMSI
VA
01
—
250242
CARELINK
VA
05
—
3810005000
—
WV
01
—
39248
VIRGINIA PREMIER
VA
Enumeration date
08/08/2006
Last updated
04/20/2010
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