Organization
ALLERGY AND ENVIRONMENTAL TREATMENT CENTER, LLC
Active
Organization
ALLERGY AND ENVIRONMENTAL TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON GWOZDEK RN, BSN (MANAGING MEMBER)
(480) 634-2985
Entity
Organization
Contact information
Practice address
8952 E DESERT COVE AVE STE 114, SCOTTSDALE, AZ 85260-6776
(480) 634-2985
(480) 634-2987
Mailing address
8776 E SHEA BLVD, SUITE B3A-304, SCOTTSDALE, AZ 85260-6629
(480) 634-2985
(480) 634-2987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
RN139630
AZ
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/14/2008
Last updated
12/05/2019
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