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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