Intermountain Allergy & Immunology Clinic

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

INTERMOUNTAIN ALLERGY & IMMUNOLOGY CLINIC

Practice address

6065 Fashion Blvd
Ste 255
Salt Lake City, UT 84107-7381

Phone

(801) 266-4115

NPI assigned

Sep 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Duane HarrisNPI 1275535411

Title

Partner

Phone

(801) 363-4071

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Intermountain Allergy & Asthma Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Duane Jones Harris, M.D.

  • Allergy & Immunology Physician
  • Draper, UT
  • NPI 1275535411
  NPD (past) Authorized official
• Brent Ray Burdett, M.D.

  • Allergy & Immunology Physician
  • South Ogden, UT
  • NPI 1750383097
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1972606036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 FASHION BLVD",
            "address_2": "STE 255",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841077381",
            "telephone_number": "801-266-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 FASHION BLVD",
            "address_2": "STE 255",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841077381",
            "telephone_number": "801-266-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN ALLERGY & IMMUNOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "801-363-4071"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILROAD MEDICARE",
            "identifier": "CO1561",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Allergy & Asthma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy & Immunology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Allergy & Immunology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.