# JASON C ALLEN DPM PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cornerstone Podiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164459343
- **Authorized official:** DR. JASON C ALLEN DPM (SOLE MEMBER)
- **Authorized official phone:** (928) 753-4500

## Contact information

- **Practice address:** 1701 N STOCKTON HILL RD, SUITE D, KINGMAN, AZ 86401-6600
- **Practice address phone:** (928) 753-4500
- **Practice address fax:** (928) 753-2220
- **Mailing address:** 1701 N STOCKTON HILL RD, SUITE D, KINGMAN, AZ 86401-6600
- **Mailing address phone:** (928) 753-4500
- **Mailing address fax:** (928) 753-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0641 | AZ | Yes |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 04/27/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 094601 | — | AZ |