ALLEN PARK

LAS VEGAS, NV
NPI1548714181
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2016-08-11
Last Update Date2016-08-11
Business Address
-- ALLEN PARK PA-C
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102-2329
Phone number: 815-325-1699
Mailing Address
-- ALLEN PARK PA-C
236 W DAISY CIR
ROMEOVILLE, IL 60446-4972
Phone number: 815-325-1699
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