Basic Information
Provider Information
NPI: 1477270858
EntityType: 2
ReplacementNPI:  
OrganizationName: ATTIGO INFUSION PA
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Mailing Information
Address1: 15301 SPECTRUM DR STE 330
Address2:  
City: ADDISON
State: TX
PostalCode: 750016462
CountryCode: US
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Practice Location
Address1: 7007 COLLEGE BLVD STE 450
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City: OVERLAND PARK
State: KS
PostalCode: 662112440
CountryCode: US
TelephoneNumber: 9726612273
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/26/2022
LastUpdateDate: 10/26/2022
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AuthorizedOfficialLastName: ROMINE
AuthorizedOfficialFirstName: LAURIE
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AuthorizedOfficialTitleorPosition: VP OF RCM AND PATIENT SERVICES
AuthorizedOfficialTelephone: 9726612273
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 10/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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