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Individual

JAMES A ALLEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4409 NW ANDERSON HILL RD, SILVERDALE, WA 98383-6807
(396) 698-6630
(360) 698-7002
Mailing address
4409 NW ANDERSON HILL RD, SILVERDALE, WA 98383-6807
(396) 698-6630
(360) 698-7002

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003727
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0271469
L&I
WA
01
P00915076
MEDICARE RAILROAD PROVIDER PTAN
WA
Enumeration date
11/04/2005
Last updated
04/10/2012
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