Individual
DR. JASON C ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3801 SANTA ROSA DR, KINGMAN, AZ 86401-2311
(928) 263-4189
Mailing address
1249 RAWHIDE DR, KINGMAN, AZ 86401-7225
(928) 515-1709
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0641
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
0641
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094601
—
AZ
Enumeration date
03/24/2006
Last updated
05/13/2025
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