Organization
MESA TEMPE ALLERGY & ASTHMA CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY M LABOVITZ RN (OFFICE MANAGER)
(480) 507-1997
Entity
Organization
Contact information
Practice address
2915 E BASELINE RD, SUITE 121, GILBERT, AZ 85234-2425
(480) 507-1997
Mailing address
2915 E BASELINE RD, SUITE 121, GILBERT, AZ 85234-2425
(480) 507-1997
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
10075
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z120904
PTAN
AZ
Enumeration date
05/04/2007
Last updated
04/15/2008
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