Organization
ALLERGY CLINIC,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOT J. SNODGRASS M.D. (PHYISICAN)
(870) 972-1667
Entity
Organization
Contact information
Practice address
311 E MONROE AVE, JONESBORO, AR 72401-2923
(870) 972-1667
(870) 972-0466
Mailing address
311 E MONROE AVE, JONESBORO, AR 72401-2923
(870) 972-1667
(870) 972-0466
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116452001
—
AR
01
—
53369
BCBS
AR
Enumeration date
02/19/2010
Last updated
02/19/2010
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