OrganizationActive
Allergy and Asthma Consultants of the Ozark,ltd
NPI 1164532024 · Allergy Physician · Jefferson City, MO
Provider details
- NPI number
- 1164532024
- Entity type
- Organization
- Primary specialty
- Allergy PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mark Vandewalker, Physician
- License
- R2F17 (MO)
Practice location
1233 Jefferson St
Jefferson City, MO 65109-2469
Phone: (573) 634-7000
Mailing address
1233 Jefferson St
Jefferson City, MO 65109-2469
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2007-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.