Organization · NPI-2

1st Allergy & Asthma

Pediatrics, Pediatric Allergy/Immunology · Thornton, CO

NPI number1265432579
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1265432579
Entity type
Organization (NPI-2)
Legal business name
1st Allergy & Asthma
Organization subpart
No
Enumeration date
Jul 28, 2005
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0201X Pediatrics, Pediatric Allergy/Immunology32130COYes

Other names

  • Horizon Pediatrics (Other Name)

Practice location

2136 E 104th Ave
Suite C
Thornton, CO 80233-4313

Phone 720-929-8300 · Fax 720-929-8444

Mailing address

2136 E 104th Ave
Suite C
Thornton, CO 80233-4313

Phone 720-929-8300 · Fax 720-929-8444

Authorized official

Betty L Blacker
Office Manager
7209298300

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