Organization
ALLERGY AND ASTHMA WELLNESS CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYME JOHNSTON (REVENUE CYCLE MANAGER)
(434) 849-1976
Entity
Organization
Contact information
Practice address
200 RENAISSANCE DR STE 105, BUTLER, PA 16001-7612
(724) 256-8514
(724) 256-9609
Mailing address
200 RENAISSANCE DR STE 103, BUTLER, PA 16001-7612
(724) 256-8514
(724) 256-9609
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036269280001
—
PA
Enumeration date
03/19/2019
Last updated
05/05/2020
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