Individual
CHAD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
9811 W CHARLESTON BLVD # 2-641, BLVD #2-641, LAS VEGAS, NV 89117-7528
(855) 864-4322
Mailing address
15599 W MACKENZIE DR, GOODYEAR, AZ 85395-7779
(480) 201-1843
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
1326
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326
CNIM
—
Enumeration date
05/22/2007
Last updated
08/14/2015
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