Organization
NORTHERN ARIZONA ALLERGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHMAT AFRASIABI MD (OWNER)
(928) 224-7540
Entity
Organization
Contact information
Practice address
3130 STILLWATER DR STE B, PRESCOTT, AZ 86305-7199
(928) 244-7540
(928) 237-5090
Mailing address
3130 STILLWATER DR STE B, PRESCOTT, AZ 86305-7199
(928) 244-7540
(928) 237-5090
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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