Organization
WILLIAM STORMS ALLERGY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATTI BOUGHTON (PRACTICE MANAGER)
(719) 955-6000
Entity
Organization
Contact information
Practice address
1625 MEDICAL CENTER PT, SUITE 190, COLORADO SPRINGS, CO 80907-8731
(719) 955-6000
(719) 955-9595
Mailing address
1625 MEDICAL CENTER PT, SUITE 190, COLORADO SPRINGS, CO 80907-8731
(719) 955-6000
(719) 955-9595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1184635914
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50227378
—
CO
Enumeration date
12/03/2014
Last updated
08/25/2021
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