Provider Demographics
NPI:1326191537
Name:ALLERGY ASSOCIATES, INC
Entity Type:Organization
Organization Name:ALLERGY ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAND
Authorized Official - Middle Name:E
Authorized Official - Last Name:DANKNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-878-0996
Mailing Address - Street 1:1570 WOODLAKE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-5712
Mailing Address - Country:US
Mailing Address - Phone:314-878-0996
Mailing Address - Fax:314-878-0683
Practice Address - Street 1:1570 WOODLAKE DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5712
Practice Address - Country:US
Practice Address - Phone:314-878-0996
Practice Address - Fax:314-878-0683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMDR9374207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B18526Medicare UPIN