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Organization

AGGARWAL ALLERGY CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAG M AGGARWAL M.D. (OWNER)
(816) 525-8400
Entity
Organization

Contact information

Practice address
600 NW MURRAY RD, SUITE 306, LEES SUMMIT, MO 64081-1204
(816) 525-8400
(816) 525-8411
Mailing address
PO BOX 18259, RAYTOWN, MO 64133-8259
(816) 525-8400
(816) 525-8411

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CK6418
MEDICARE RAILROAD
Enumeration date
03/21/2007
Last updated
12/10/2007
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