| Evan C Allen Md Pc | |
|
1701 N Green Valley Pkwy Ste 5c Henderson NV 89074-5889 | |
| (702) 541-8240 | |
| (702) 541-8241 |
| Full Name | Evan C Allen Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 N Green Valley Pkwy Ste 5c, Henderson, Nevada |
| Authorized Official Name and Position | Evan C Allen (PRESIDENT) |
| Authorized Official Contact | 7025418240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evan C Allen Md Pc 1701 N Green Valley Pkwy Ste 5c Henderson NV 89074-5889 Ph: (702) 541-8240 | Evan C Allen Md Pc 1701 N Green Valley Pkwy Ste 5c Henderson NV 89074-5889 Ph: (702) 541-8240 |
| NPI Number | 1720294259 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 11/01/2019 |
| Medicare PECOS PAC ID | 1850491648 |
|---|---|
| Medicare Enrollment ID | O20070709000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720294259 | NPI | - | NPPES |
| 00200431 | Medicaid | NV |
| Provider Name | Evan C Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710980743 PECOS PAC ID: 7810929510 Enrollment ID: I20050901000872 |
| Provider Name | Henry M Rucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407392855 PECOS PAC ID: 2062780042 Enrollment ID: I20180814003849 |
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