Doctor Name: | DR. M CHRISTINE ALLISON |
NPI Number: | 1558371567 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 20A7685 |
Business Practice Address: | 43839 N 15th St West High Desert Medical Group Lancaster, CA - 93534 |
Business Phone Number: | 6619455984 |
Business Fax Number: | 6619523667 |
Mailing Address: | Po Box 7007, High Desert Medical Group LANCASTER |
State: | CA |
Postal Code: | 935397007 |
Phone Number: | 6619455984 |
Fax Number: | 6619523667 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 08/22/2006 |
NPI Reactivation Date: | 09/15/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A7685 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |