Individual provider · Type 1 NPI
Stacy Ralph Allen, P.A.-C
Medical Physician Assistant · Raleigh, NC
NPI number
1598735995
Active
Practice location
4414 Lake Boone Trl, Suite 502
Raleigh, NC 27607-7514
Fax (919) 875-1051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 100771 (NC) |
Medical Physician Assistant: Definition to come...
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About NPI 1598735995
Stacy Ralph Allen, P.A.-C's National Provider Identifier is 1598735995, issued on Jan 26, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Jul 8, 2007.