Organization
ALLERGY CLINIC PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA TULLIS (CMA)
(605) 348-1350
Entity
Organization
Contact information
Practice address
1828 W KANSAS CITY ST, RAPID CITY, SD 57702-2516
(605) 348-1350
(605) 342-3882
Mailing address
1828 W KANSAS CITY ST, RAPID CITY, SD 57702-2516
(605) 348-1350
(605) 342-3882
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/17/2007
Last updated
10/11/2017
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