Individual
MARK ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3591 S MERCY RD STE 204, GILBERT, AZ 85297-2240
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(623) 241-8716
(623) 544-5531
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
010716
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
010716
AZ
Other
Enumeration date
06/30/2010
Last updated
03/03/2026
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