Individual
JON DAVID ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1935
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1935
PHYSICIAN ASSISTANT
CO
05
—
88722325
—
CO
Enumeration date
06/20/2006
Last updated
01/07/2022
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