Organization
ALLERGY AND ASTHMA CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MCKENZIE WILBORN (MEDICAL BILLING MANAGER)
(714) 751-8864
Entity
Organization
Contact information
Practice address
369 MAIN ST STE 200, REDWOOD CITY, CA 94063-1759
(650) 216-6111
(650) 216-9725
Mailing address
369 MAIN ST STE 200, REDWOOD CITY, CA 94063-1759
(650) 216-6111
(650) 216-9725
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G579120
CA
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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