Individual provider · NPI-1

Mollyann G. Allen, P.A.-C.

Physician Assistant · Glendale, AZ

NPI number1932220639
StatusActive
Last updated in NPPESAug 20, 2008

Details

NPI
1932220639
Entity type
Individual (NPI-1)
Name
Mollyann G. Allen
Credential
P.A.-C.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2007
Last updated
Aug 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant2167AZYes

Practice location

18185 N 83rd Ave
Bldg D, Ste 107
Glendale, AZ 85308

Phone 623-583-0306 · Fax 623-583-1349

Mailing address

8620 N 22nd Ave
200
Phoenix, AZ 85021-4251

Phone 602-674-6506 · Fax 602-674-6512

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