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Individual

ANDREW H. ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
170 COLUMBUS AVE STE 110, SAN FRANCISCO, CA 94133-5160
(415) 965-8050
(415) 965-7678
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56767
CA
363A00000X
Physician Assistant

Other

Enumeration date
11/05/2008
Last updated
05/24/2019
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