Individual
MICHAEL STEVEN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 459-3500
(907) 459-3526
Mailing address
481 PASO DE MONTANA ST, LAS VEGAS, NV 89138-1130
(702) 292-0531
(702) 877-8770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7829
AK
207Q00000X
Family Medicine Physician
Primary
DO1759
NV
207Q00000X
Family Medicine Physician
SL0755
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1585553
—
AK
Enumeration date
06/16/2010
Last updated
03/25/2020
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