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Individual

DR. DANIEL FRED ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC PC

Contact information

Practice address
3917 E PIMA ST, TUCSON, AZ 85712-3314
(520) 318-9841
(520) 318-9845
Mailing address
3917 E PIMA ST, TUCSON, AZ 85712-3314
(520) 318-9841
(520) 318-9845

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2063
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28100185
STATE FUND WORK COMP
AZ
01
AZ0081500
BCBS ID
AZ
Enumeration date
05/26/2006
Last updated
10/09/2007
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