Individual provider · Type 1 NPI
Jared Allen
Electroneurodiagnostic Specialist/Technologist · Las Vegas, NV
NPI number
1447553102
Active
Practice location
9811 W Charleston Blvd, Blvd #2-641
Las Vegas, NV 89117-7528
Fax (888) 315-4512
Mailing address
3620 Gramercy Ave
Ogden, UT 84403-1918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
| EEG Technician | 2472E0500X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
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About NPI 1447553102
Jared Allen's National Provider Identifier is 1447553102, issued on Dec 17, 2010. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 14, 2015.