Organization
ALPINE ALLERGY AND ASTHMA ASSOCIATES INC
Active
Organization
ALPINE ALLERGY AND ASTHMA ASSOCIATES INC
Active
Parent organization
ALPINE ALLERGY AND ASTHMA ASSOCIATES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPINE ALLERGY AND ASTHMA ASSOCIATES INC
Authorized official
ALLISON LACEY MCCORMICK M.D. (SECRETARY)
(530) 888-1016
Entity
Organization
Contact information
Practice address
3254 PROFESSIONAL DRIVE, AUBURN, CA 95602-2412
(530) 888-1016
(530) 888-1346
Mailing address
300 SIERRA COLLEGE DR, STE 235, GRASS VALLEY, CA 95945-5082
(530) 273-6530
(530) 273-3951
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
CA
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100570
—
CA
01
—
ZZZ64413
BLUE SHIELD
CA
Enumeration date
10/25/2006
Last updated
09/23/2008
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