Organization
THE ASTHMA ALLERGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER BRYAN BOGGS M.D. (OWNER)
(318) 221-3584
Entity
Organization
Contact information
Practice address
1717 E BERT KOUNS INDUSTRIAL LOOP, SUITE B, SHREVEPORT, LA 71105-5561
(318) 221-3584
(318) 227-9094
Mailing address
PO BOX 53407, SHREVEPORT, LA 71135-3407
(318) 221-3584
(318) 227-9094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD 009735
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122475
—
LA
Enumeration date
12/08/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us