Individual
DR. ALLEN MAX GERMAINE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2345 E SOUTHERN AVE, #101, MESA, AZ 85204-5417
(480) 893-2345
(480) 926-0495
Mailing address
2345 E SOUTHERN AVE, #101, MESA, AZ 85204-5417
(480) 893-2345
(480) 926-0495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15647
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274796
—
AZ
01
—
Z108141
PTAN
AZ
Enumeration date
11/30/2005
Last updated
11/18/2014
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