Organization · NPI-2
Allergy, Asthma & Sinus Care Center, LLC
Allergy & Immunology, Allergy · Saint Louis, MO
NPI number1417034695
StatusActive
Last updated in NPPESMar 18, 2020
Details
- NPI
- 1417034695
- Entity type
- Organization (NPI-2)
- Legal business name
- Allergy, Asthma & Sinus Care Center, LLC
- Organization subpart
- No
- Enumeration date
- Nov 1, 2006
- Certification date
- Mar 18, 2020
- Last updated
- Mar 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207KA0200X | Allergy & Immunology, Allergy | R5G81 | MO | Yes |
Other names
- Allergy, Asthma & Food Centers Of St. Louis (Doing Business As)
Practice location
9701 Landmark Parkway Dr Ste 207Saint Louis, MO 63127-1665
Phone 314-849-8700
Mailing address
9701 Landmark Parkway Dr Ste 207Saint Louis, MO 63127-1665
Phone 314-849-8700
Other practice locations
Authorized official
Michael R Borts
President
3148498700
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