Organization
SAN TAN ALLERGY AND ASTHMA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY CARLSON (BUSINESS MANAGER)
(480) 626-6600
Entity
Organization
Contact information
Practice address
4915 E BASELINE RD STE 112, GILBERT, AZ 85234
(480) 626-6600
(480) 626-6604
Mailing address
4915 E BASELINE RD STE 112, GILBERT, AZ 85234-2966
(480) 626-6600
(480) 626-6604
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
29558
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z134798
MEDICARE # FOR DR. NEAL JAIN
AZ
Enumeration date
05/03/2007
Last updated
02/04/2019
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