John Todd Allen, PA-C

NPI #1003168899 in Blackfoot, Idaho

Provider Information

NPI Number: 1003168899
Entity Type: Individual
Name: John Todd Allen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 4, 2012
Last Updated: Oct 4, 2012

Practice Location

Address: 700 E ALICE ST
City: Blackfoot
State: Idaho
ZIP Code: 83221-4925
Phone: (208) 785-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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