Paradise Valley Allergy Assoc Ltd

LBN: Paradise Valley Allergy Assoc Ltd
Paradise Valley Allergy Assoc Ltd is an health care organization with primary practice located at 20940 N Tatum Blvd Ste 205, Phoenix AZ 85050-7260. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Allergy is the primary health care specialty. Paradise Valley Allergy Assoc Ltd can be contacted via phone (480) 991-1930, or through Keightley, Richard George via phone (480) 991-1930.

Contact Information

Primary practice address
20940 N Tatum Blvd Ste 205 Phoenix AZ 85050-7260
Fax: (480) 443-8196
Website:
Authorized official contact:
Name: Keightley, Richard George Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 11856 Arizona
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 11856 Arizona

Profile Details

NPI number 1356414346
LBN Legal business name Paradise Valley Allergy Assoc Ltd
DBA Doing business as
Authorized official Keightley, Richard George Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Mar 14th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356414346 NPPES
Arizona Other 4022160 AETNA PPO
Arizona Other 0200027 AETNA PPO
Arizona Other 1Z2992 AETNA PPO
Arizona Other 2572627 AETNA PPO
Arizona Other AZ0027920 AETNA PPO

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