Provider Demographics
NPI:1033346267
Name:ALLERGY AND ASTHMA CONSULTANTS OF THE OZARKS, LTD
Entity Type:Organization
Organization Name:ALLERGY AND ASTHMA CONSULTANTS OF THE OZARKS, LTD
Other - Org Name:ALLERGY AND ASTHMA CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-422-7000
Mailing Address - Street 1:407A E RUSSELL AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-1266
Mailing Address - Country:US
Mailing Address - Phone:660-422-7000
Mailing Address - Fax:660-747-0409
Practice Address - Street 1:407A E RUSSELL AVE STE 3
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-1266
Practice Address - Country:US
Practice Address - Phone:660-422-7000
Practice Address - Fax:660-747-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty