Individual
ERIC ANDREW ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1519 3RD ST SE STE 101, PUYALLUP, WA 98372-3742
(253) 838-7980
(253) 874-0885
Mailing address
1519 3RD ST SE STE 101, PUYALLUP, WA 98372-3742
(253) 841-0705
(253) 841-4527
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P000000690
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158886
L AND I
WA
05
—
8322943
—
WA
Enumeration date
10/03/2006
Last updated
05/22/2023
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