Organization · NPI-2

Adobe Ent & Allergy, LLC

Otolaryngology, Otolaryngology/Facial Plastic Surgery · Glendale, AZ

NPI number1467914259
StatusActive
Last updated in NPPESApr 2, 2019

Details

NPI
1467914259
Entity type
Organization (NPI-2)
Legal business name
Adobe Ent & Allergy, LLC
Organization subpart
No
Enumeration date
Apr 2, 2019
Last updated
Apr 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery––Yes
207YX0602X Otolaryngology, Otolaryngic Allergy––
231H00000X Audiologist––
231HA2500X Audiologist, Assistive Technology Supplier––
363A00000X Physician Assistant––
363L00000X Nurse Practitioner––

Practice location

20325 N 51st Ave
Bldg 7, Ste 154
Glendale, AZ 85308

Phone 623-363-5480

Mailing address

20325 N 51st Ave
Bldg 7, Ste 154
Glendale, AZ 85308

Phone 623-363-5480

Authorized official

Michael Rodriguez
President
6233635480

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