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Individual

MR. CURTIS R ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 864-8954
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 864-8954

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10001171
WA
363AM0700X
Medical Physician Assistant
PA10001171
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0129650
LABOR AND INDUSTRIES
WA
05
8353591
WA
01
8933791
L&I CVC
WA
01
AL6024
REGENCE RIDER
WA
01
P00124908
MEDICARE RAILROAD
WA
Enumeration date
05/08/2006
Last updated
01/24/2016
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