| Allergy And Environmental Treatment Center, Llc | |
|
8952 E Desert Cove Ave Ste 114 Scottsdale AZ 85260-6776 | |
| (480) 634-2985 | |
| (480) 634-2987 |
| Full Name | Allergy And Environmental Treatment Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8952 E Desert Cove Ave Ste 114, Scottsdale, Arizona |
| Authorized Official Name and Position | Sharon Gwozdek (MANAGING MEMBER) |
| Authorized Official Contact | 4806342985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allergy And Environmental Treatment Center, Llc 8776 E Shea Blvd Suite B3a-304 Scottsdale AZ 85260-6629 Ph: (480) 634-2985 | Allergy And Environmental Treatment Center, Llc 8952 E Desert Cove Ave Ste 114 Scottsdale AZ 85260-6776 Ph: (480) 634-2985 |
| NPI Number | 1265600027 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 12/05/2019 |
| Medicare PECOS PAC ID | 6406932367 |
|---|---|
| Medicare Enrollment ID | O20080318000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265600027 | NPI | - | NPPES |
| Provider Name | Christina M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215233507 PECOS PAC ID: 4486800901 Enrollment ID: I20120815000541 |
| Provider Name | Maria Cristina A De Souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689602393 PECOS PAC ID: 8426365917 Enrollment ID: I20181214002036 |
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