Individual
DANIEL ALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4351 E LOHMAN AVE STE 208, LAS CRUCES, NM 88011-8260
(575) 523-6554
(575) 523-5357
Mailing address
780 S WALNUT ST BLDG 1, LAS CRUCES, NM 88001-1425
(575) 523-6554
(575) 523-5357
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
81140
NM
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
81140
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17962
—
NM
Enumeration date
10/05/2006
Last updated
09/29/2020
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