Individual provider · NPI-1

Darian Allen

Anesthesiologist Assistant · Fort Wayne, IN

NPI number1972061067
StatusActive
Last updated in NPPESDec 1, 2024

Details

NPI
1972061067
Entity type
Individual (NPI-1)
Name
Darian Allen
Sex
Male
Sole proprietor
No
Enumeration date
Mar 7, 2019
Certification date
Dec 1, 2024
Last updated
Dec 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant75000043AINYes
367H00000X Anesthesiologist AssistantAA2022-005NM

Practice location

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

Phone 260-425-6030 · Fax 260-425-6028

Mailing address

800 Bradbury Dr Se Ste 116
Albuquerque, NM 87106-4310

Phone 505-272-1476

Other practice locations

2211 Lomas Blvd Ne
Albuquerque, NM 87106-2719

Phone 505-272-2610

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