Individual
MOLLYANN G. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
18185 N 83RD AVE, BLDG D, STE 107, GLENDALE, AZ 85308
(623) 583-0306
(623) 583-1349
Mailing address
8620 N 22ND AVE, 200, PHOENIX, AZ 85021-4251
(602) 674-6506
(602) 674-6512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2167
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167
LICENSE
AZ
05
—
318488
—
AZ
Enumeration date
04/02/2007
Last updated
08/20/2008
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