Individual
ANTHONY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
5220 W NORTHERN AVE APT 107, GLENDALE, AZ 85301-1410
(480) 694-8637
Mailing address
5220 W NORTHERN AVE APT 107, GLENDALE, AZ 85301-1410
(480) 694-8637
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/07/2026
Last updated
02/07/2026
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