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Organization

PEDIATRIC & ADULT ALLERGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELIZABETH MARY SCHULTZ (CLINIC MANAGER)
(515) 244-7229
Entity
Organization

Contact information

Practice address
1212 PLEASANT ST, SUITE 110, DES MOINES, IA 50309-1410
(515) 244-7229
Mailing address
1212 PLEASANT ST, SUITE 110, DES MOINES, IA 50309-1410
(515) 244-7229

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0166314
IA
Enumeration date
12/28/2006
Last updated
06/18/2009
Update your record

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