Organization
CENTERS FOR ALLERGY, ASTHMA AND IMMUNE DISORDERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO MIR GARCIA PERALTA M.D. (PRESIDENT)
(515) 570-0595
Entity
Organization
Contact information
Practice address
804 KENYON RD, FORT DODGE, IA 50501-5742
(515) 574-6830
(515) 574-6097
Mailing address
804 KENYON RD, FORT DODGE, IA 50501-5742
(515) 574-6830
(515) 574-6097
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
29873
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3179507
—
IA
Enumeration date
07/27/2016
Last updated
07/27/2016
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