Doctor Name: | CHELSEY ALLEN |
NPI Number: | 1275947624 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 9050208-1206 |
Business Practice Address: | 49 East Center Gunnison, UT - 846340429 |
Business Phone Number: | 4355287231 |
Business Fax Number: | 4355287232 |
Mailing Address: | Po Box 429, 49 East Center GUNNISON |
State: | UT |
Postal Code: | 846340429 |
Phone Number: | 4355287231 |
Fax Number: | 4355287232 |
NPI Enumeration Date: | 06/13/2014 |
NPI Last Update Date: | 06/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 9050208-1206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |