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Individual

DR. STAN D ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1739 E BEVERLY AVE STE 102, KINGMAN, AZ 86409-3593
(928) 681-8693
(928) 681-8694
Mailing address
1739 E BEVERLY AVE STE 102, KINGMAN, AZ 86409-3593
(928) 681-8693
(928) 681-8694

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3239
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
392548
AZ
Enumeration date
02/22/2006
Last updated
12/18/2012
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