Provider Demographics
NPI:1568047561
Name:ADVANCED ALLERGY ASTHMA & IMMUNOLOGY
Entity Type:Organization
Organization Name:ADVANCED ALLERGY ASTHMA & IMMUNOLOGY
Other - Org Name:ADVANCED ALLERGY, ASTHMA & IMMUNOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:MCGARRY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-322-7728
Mailing Address - Street 1:12615 E MISSION AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1047
Mailing Address - Country:US
Mailing Address - Phone:509-960-5520
Mailing Address - Fax:509-255-7792
Practice Address - Street 1:12615 E MISSION AVE STE 300
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1047
Practice Address - Country:US
Practice Address - Phone:509-960-5520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty