Organization
EVAN C ALLEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN C ALLEN MD (PRESIDENT)
(702) 541-8240
Entity
Organization
Contact information
Practice address
1701 N GREEN VALLEY PKWY STE 5C, HENDERSON, NV 89074-5889
(702) 541-8240
(702) 541-8241
Mailing address
1701 N GREEN VALLEY PKWY STE 5C, HENDERSON, NV 89074-5889
(702) 541-8240
(702) 541-8241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00200431
—
NV
Enumeration date
05/14/2007
Last updated
11/01/2019
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