Individual
RICHARD WARREN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2525 W GREENWAY RD STE 125, PHOENIX, AZ 85023-4226
(480) 640-0513
(602) 532-7997
Mailing address
2525 W GREENWAY RD STE 125, PHOENIX, AZ 85023-4226
(480) 640-0513
(602) 532-7997
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2336
AZ
363AM0700X
Medical Physician Assistant
Primary
3336
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2336
LICENSE
AZ
05
—
698092
—
AZ
Enumeration date
03/27/2007
Last updated
09/01/2020
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