JASON C ALLEN DPM PLLC NPI 1164459343

NPI Information

JASON C ALLEN DPM PLLC is a foot and ankle surgery podiatrist in Kingman, AZ. JASON C ALLEN DPM PLLC NPI is 1164459343. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cornerstone Podiatry.

The provider's business location address is:

1701 N STOCKTON HILL RD
SUITE D
KINGMAN, AZ
ZIP 86401-600
Phone: (928) 753-4500
Fax: (928) 753-2220

The provider's authorized official is Jason C Allen .
The authorized official title is Sole Member and has the following contact phone number (928) 753-4500.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 4/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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