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General NPI Number Information
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NPI Number | 1538120498
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Entity Type | Individual
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Provider Name | JON C ALLISON MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 9040 REID ST
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City | JOINT BASE LEWIS MCCHORD
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State | WA
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Zip | 98431-1100
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Country | US
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Telephone | 253-968-2462
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Fax | 253-968-6261
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Provider Business Mailing Address
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Address Line | 9040 REID ST
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City | JOINT BASE LEWIS MCCHORD
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State | WA
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Zip | 98431-1100
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Country | US
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Telephone | 253-968-2843
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Fax | 253-968-6261
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00033140
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License Number State | WA
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