Provider Demographics
NPI:1477957538
Name:ALLERGY, ASTHMA & IMMUNOLOGY INSTITUTE OF ST. LOUIS INC
Entity Type:Organization
Organization Name:ALLERGY, ASTHMA & IMMUNOLOGY INSTITUTE OF ST. LOUIS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-822-5309
Mailing Address - Street 1:PO BOX 11714
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-0514
Mailing Address - Country:US
Mailing Address - Phone:314-822-5309
Mailing Address - Fax:314-822-5326
Practice Address - Street 1:10000 WATSON RD
Practice Address - Street 2:SUITE 2S
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-1841
Practice Address - Country:US
Practice Address - Phone:314-822-5309
Practice Address - Fax:314-822-5326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-18
Last Update Date:2023-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty