Individual
DAVID ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3235 N TOWERBRIDGE WAY STE 100, MERIDIAN, ID 83646-5721
(208) 895-6611
Mailing address
3235 N TOWERBRIDGE WAY STE 100, MERIDIAN, ID 83646-5721
(208) 895-6611
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-680A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2737024
—
OH
Enumeration date
03/17/2007
Last updated
07/09/2012
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