Basic Information
Provider Information
NPI: 1518091560
EntityType: 2
ReplacementNPI:  
OrganizationName: MICHAEL ALLOWAY PC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: MICHAEL E ALLOWAY DO
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 43130
Address2:  
City: TUCSON
State: AZ
PostalCode: 857333130
CountryCode: US
TelephoneNumber: 5207223777
FaxNumber: 5202966224
Practice Location
Address1: 7383 E TANQUE VERDE RD
Address2:  
City: TUCSON
State: AZ
PostalCode: 857153475
CountryCode: US
TelephoneNumber: 5203183434
FaxNumber: 5203183435
Other Information
ProviderEnumerationDate: 03/14/2007
LastUpdateDate: 06/05/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: ALLOWAY
AuthorizedOfficialFirstName: MICHAEL
AuthorizedOfficialMiddleName: E
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 5208860465
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: DO
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X3387AZY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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