OrganizationActive
Allergy & Asthma Care of Sedona, LLC
NPI 1053500207 · Allergy & Immunology Physician · Cottonwood, AZ
Provider details
- NPI number
- 1053500207
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Goodman, Physician Owner(314) 569-1881
- License
- 30297 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
450 S Willard St Ste 101
Cottonwood, AZ 86326-6744
Phone: (928) 284-0166
Fax: (928) 284-1810
Approximate (ZIP-level) locationGet directions
Mailing address
9 N Euclid Ave Unit 404
Saint Louis, MO 63108-1482
Registry dates
- Enumerated
- 2007-10-23
- Last updated
- 2023-01-17
- Certified
- 2023-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.