Doctor Name: | MS. PAULA JEAN ALLEN |
NPI Number: | 1528254596 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 108 |
Business Practice Address: | 107 6th Ave Sw Ronan, MT - 598642634 |
Business Phone Number: | 4066763600 |
Business Fax Number: | 4066760835 |
Mailing Address: | 133 Hastings Ave, MISSOULA |
State: | MT |
Postal Code: | 598015953 |
Phone Number: | 4063270161 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2007 |
NPI Last Update Date: | 11/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |