Organization
ALLERGY CLINIC OF AMERICA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NII TETTEH ADDY D.O. (OWNER)
(575) 887-1282
Entity
Organization
Contact information
Practice address
615 W MERMOD ST, CARLSBAD, NM 88220-4912
(575) 887-8925
(575) 887-8935
Mailing address
615 W MERMOD ST, CARLSBAD, NM 88220-4912
(575) 887-8925
(575) 887-8935
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD2A-1299-05
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88003791
—
NM
Enumeration date
01/25/2012
Last updated
07/10/2019
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