Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idaho Allergy & Asthma Clinic PA

Organization Allergy & Immunology Physician · NPI 1003949298

Idaho Allergy & Asthma Clinic PA is an Allergy & Immunology Physician in Idaho Falls, Idaho. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3422 S 15th E
Idaho Falls, ID 83404-8262
Phone: (208) 529-9292
Fax: (208) 523-2397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X

Record details

NPI number1003949298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendell Petty — President · (208) 529-9292
NPI enumeratedMarch 14, 2007
Last updated in NPPESJune 21, 2019
Mailing address3422 S 15th E, Idaho Falls, ID 83404-8262

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