Individual
EVAN JAMES ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-2737
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DOS-2182
HI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/14/2019
Last updated
09/11/2023
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