Business Name
Physician First Name
Ronald
Physician Middle Initial
Keith
Physician Last Name
Jorgensen
Practice Name
Specialty
Allergy & Immunology
Office Designation
Primary
Address
13965 N 75th Ave
85381
85381
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(602)843-2991
Business Website Address
Business Fax
(602)978-1226
ASPA Effective Date
4/6/1998
Business Name
Physician First Name
Kevin
Physician Middle Initial
M
Physician Last Name
Boesel
Practice Name
Specialty
Allergy & Immunology
Office Designation
Primary
Address
13965 N 75th Ave
85381
85381
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(602)843-2991
Business Website Address
Business Fax
(602)978-1226
ASPA Effective Date
7/7/2003
Business Name
Physician First Name
Mark
Physician Middle Initial
E.
Physician Last Name
Rose
Practice Name
Specialty
Allergy & Immunology
Office Designation
Primary
Address
13965 N 75th Ave
85381
85381
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(602)843-2991
Business Website Address
Business Fax
(602)978-1226
ASPA Effective Date
12/4/2017
Business Name
Physician First Name
Ryan
Physician Middle Initial
Matthew
Physician Last Name
Casper
Practice Name
Specialty
Pediatric Allergy & Immunology
Office Designation
Primary
Address
13965 N 75th Ave
85381
85381
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(602)843-2991
Business Website Address
Business Fax
(602)978-1226
ASPA Effective Date
6/2/2008
Business Name
Physician First Name
Levente
Physician Middle Initial
Edward
Physician Last Name
Erdos
Practice Name
Specialty
Allergy & Immunology
Office Designation
Primary
Address
13965 N 75th Ave
85381
85381
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(602)843-2991
Business Website Address
Business Fax
(602)978-1226
ASPA Effective Date
10/6/2008
Business Name
Physician First Name
Eiza
Physician Middle Initial
Lyn
Physician Last Name
Ching
Practice Name
Specialty
Allergy & Immunology
Office Designation
Primary
Address
13965 N 75th Ave
85381
85381
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(602)843-2991
Business Website Address
Business Fax
(602)978-1226
ASPA Effective Date
10/4/2010
Business Name
Physician First Name
Ronald
Physician Middle Initial
J.
Physician Last Name
Mittel
Practice Name
Specialty
Allergy & Immunology
Office Designation
Primary
Address
13965 N 75th Ave
85381
85381
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(602)843-2991
Business Website Address
Business Fax
(602)978-1226
ASPA Effective Date
10/7/2013
Business Name
Physician First Name
Amanda
Physician Middle Initial
L.
Physician Last Name
Michaud
Practice Name
Specialty
Physician Assistant
Office Designation
Primary
Address
13965 N 75th Ave
85381
85381
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(602)843-2991
Business Website Address
Business Fax
(602)978-1226
ASPA Effective Date
12/4/2017
Business Name
Physician First Name
Sara
Physician Middle Initial
A.
Physician Last Name
Wilson
Practice Name
Specialty
Physician Assistant
Office Designation
Primary
Address
13965 N 75th Ave
85381
85381
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(602)843-2991
Business Website Address
Business Fax
(602)978-1226
ASPA Effective Date
6/4/2018
Business Name
Physician First Name
Christine
Physician Middle Initial
M.
Physician Last Name
Pratt
Practice Name
Specialty
Physician Assistant
Office Designation
Primary
Address
13965 N 75th Ave
85381
85381
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(602)843-2991
Business Website Address
Business Fax
(602)978-1226
ASPA Effective Date
6/4/2018