Individual
MR. JOHN MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
711 D ST STE 108, SAN RAFAEL, CA 94901-3703
(415) 925-1333
(415) 925-1444
Mailing address
711 D ST STE 108, SAN RAFAEL, CA 94901-3703
(415) 925-1333
(415) 925-1444
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO1715
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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