Provider Demographics
NPI:1609834373
Name:ALLERGY ASTHMA CLINIC LTD
Entity Type:Organization
Organization Name:ALLERGY ASTHMA CLINIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:SCHUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-277-3337
Mailing Address - Street 1:300 W CLARENDON AVE
Mailing Address - Street 2:STE 120
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-3421
Mailing Address - Country:US
Mailing Address - Phone:602-277-3337
Mailing Address - Fax:602-277-3330
Practice Address - Street 1:300 W CLARENDON AVE
Practice Address - Street 2:STE 120
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-3421
Practice Address - Country:US
Practice Address - Phone:602-277-3337
Practice Address - Fax:602-277-3330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty