Individual
CHARLES F ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 E MCDOWELL RD, PHOENIX, AZ 85006-2502
(602) 239-2391
(602) 239-4362
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 495-4577
(602) 417-3549
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5745
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225814
—
AZ
Enumeration date
03/24/2006
Last updated
07/08/2007
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