Provider Demographics
NPI:1063675874
Name:ANES, ALLEN ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:ROBERT
Last Name:ANES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:20 ANTHEM POINTE COURT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-6605
Mailing Address - Country:US
Mailing Address - Phone:702-458-6454
Mailing Address - Fax:702-458-3838
Practice Address - Street 1:20 ANTHEM POINTE CT
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-6605
Practice Address - Country:US
Practice Address - Phone:702-458-6454
Practice Address - Fax:702-458-3838
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG46901207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology