Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A-6486 | CA |
NPI | 1154464048 |
---|---|
Provider Name | Dr. Daniel Merrill Allen |
First Address | Nevada City, CA 95959-2230 |
Second Address | Nevada City, CA 95959-2230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 03/02/2016 |