Organization
GARY INCAUDO M D INC
Active
Other names
Allergy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GARY A INCAUDO MD (OWNER PRESIDENT)
(530) 896-2200
Entity
Organization
Contact information
Practice address
STE 110, 145 MISSION RANCH BLVD, CHICO, CA 95926-2175
(530) 896-2200
(530) 896-2209
Mailing address
STE 110, 145 MISSION RANCH BLVD, CHICO, CA 95926-2175
(530) 896-2200
(530) 896-2209
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0082260
—
CA
Enumeration date
08/07/2006
Last updated
12/15/2008
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