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RICHARD PAUL ALLEN PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1033188768

Individual Registrant:
 RICHARD PAUL ALLEN PA-C
Gender: M

Location and contact information for practice:
DEM MADIGAN ARMY MEDICAL CENTER FT. LEWIS, WA 98433 US
Tel: 253-968-0433  Fax: --

Contact information for business:
9310 110TH ST SW  LAKEWOOD, WA 98498-3765 US
Tel: 253-584-4139  Fax: --

Registration Information:
NPI: 1033188768
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
WAPA10002778

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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