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Individual

DR. JON DAVID ALLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D. , M.S.

Contact information

Practice address
8804 N 23RD AVE BLDG A, PHOENIX, AZ 85021-4160
(602) 685-6000
(602) 216-7040
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(602) 685-6000
(602) 302-7925

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43603
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
570473
AZ
Enumeration date
10/15/2007
Last updated
07/15/2021
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