Individual
JARED M ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5039
(602) 344-0779
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0653
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490759
—
AZ
Enumeration date
12/29/2009
Last updated
12/17/2014
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