Individual
LARISSA MARIA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6130 N LA CHOLLA BLVD, SUITE 200, TUCSON, AZ 85741-3557
(520) 219-8342
(520) 219-7117
Mailing address
6130 N LA CHOLLA BLVD, SUITE 200, TUCSON, AZ 85741-3557
(520) 219-8342
(520) 219-7117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R70554
AZ
207RG0100X
Gastroenterology Physician
Primary
48787
AZ
Other
Enumeration date
07/21/2008
Last updated
01/05/2017
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