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Individual

ROBERT K ALLEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1575 SOQUEL DR, SANTA CRUZ, CA 95065-1700
(831) 479-3772
(831) 479-3791
Mailing address
1575 SOQUEL DR, SANTA CRUZ, CA 95065-1700
(831) 479-3772
(831) 479-3791

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
G25241
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G252410
CA
Enumeration date
08/26/2005
Last updated
03/07/2023
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