Organization
MIDWEST ALLERGY AND ASTHMA CLINIC, P.C.
Active
Other names
Midwest Allergy & Asthma Clinic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WHITE (PRACTICE ADMINISTRATOR)
(402) 397-7455
Entity
Organization
Contact information
Practice address
16945 FRANCES ST, OMAHA, NE 68130-2312
(402) 397-7400
(402) 397-0115
Mailing address
16945 FRANCES ST, OMAHA, NE 68130-2312
(402) 397-7400
(402) 397-0115
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1812
NE BCBS GROUP #
NE
Enumeration date
02/14/2007
Last updated
07/03/2024
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