NPI 1003168899

John Todd Allen, PAC

Practitioner Physician Assistant Blackfoot, ID

Practice location

Address: 700 E Alice St, Blackfoot, ID 83221-4925
Phone: (208) 785-1200

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-999 (ID)

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1003168899
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2012
Record last updated: 4 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.