Individual
MR. JONATHAN SCOTT ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
2 AUCTION AVE, MEMPHIS, TN 38105-1502
(901) 521-4812
(901) 544-3915
Mailing address
2 AUCTION AVE, MEMPHIS, TN 38105-1502
(901) 521-4812
(901) 544-3915
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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