Organization
JASON C ALLEN DPM PLLC
Active
Other names
Cornerstone Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON C ALLEN DPM (SOLE MEMBER)
(928) 753-4500
Entity
Organization
Contact information
Practice address
1701 N STOCKTON HILL RD, SUITE D, KINGMAN, AZ 86401-6600
(928) 753-4500
(928) 753-2220
Mailing address
1701 N STOCKTON HILL RD, SUITE D, KINGMAN, AZ 86401-6600
(928) 753-4500
(928) 753-2220
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0641
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094601
—
AZ
Enumeration date
06/26/2006
Last updated
04/27/2014
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