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Individual

ERIN DOHERTY VAN ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1041 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3168
(760) 446-0121
(760) 446-0734
Mailing address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 446-0121
(760) 446-0734

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10004559
CA
363AS0400X
Surgical Physician Assistant
Primary
PA10004559
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013164
WA
Enumeration date
04/12/2006
Last updated
04/14/2026
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