Provider Demographics
NPI:1093748550
Name:ARIZONA ALLERGY ASTHMA & IMMUNOLOGY CONSULTANTS PLC
Entity Type:Organization
Organization Name:ARIZONA ALLERGY ASTHMA & IMMUNOLOGY CONSULTANTS PLC
Other - Org Name:ARIZONA ALLERGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAMBILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-697-5305
Mailing Address - Street 1:705 S DOBSON RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5657
Mailing Address - Country:US
Mailing Address - Phone:480-897-6992
Mailing Address - Fax:480-752-1757
Practice Address - Street 1:705 S DOBSON RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5657
Practice Address - Country:US
Practice Address - Phone:480-897-6992
Practice Address - Fax:480-839-1874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ85180Medicare PIN