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Organization

SUMMIT ALLERGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH ISBISTER M.D. (OWNER)
(260) 969-0801
Entity
Organization

Contact information

Practice address
7030 POINTE INVERNESS WAY STE 335, FORT WAYNE, IN 46804-7929
(260) 969-0801
(260) 969-0802
Mailing address
7030 POINTE INVERNESS WAY STE 335, FORT WAYNE, IN 46804-7929
(260) 969-0801
(260) 969-0802

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
01055513A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000600333
ANTHEM BC/BS PIN
IN
05
200950470A
IN
Enumeration date
02/20/2009
Last updated
08/19/2014
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