Individual
JOHN W ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3920 OUTLOOK RD, SUNNYSIDE, WA 98944-9202
(509) 837-6174
(509) 837-6225
Mailing address
3920 OUTLOOK RD, SUNNYSIDE, WA 98944-9202
(509) 837-6174
(509) 837-6225
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OP00000786
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1068857
—
WA
Enumeration date
12/19/2006
Last updated
07/08/2007
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