Provider Demographics
NPI:1194929547
Name:PRITCHARD, ALLISON MARIE (NMD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:MARIE
Last Name:PRITCHARD
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 N CRAYCROFT RD STE 124
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2829
Mailing Address - Country:US
Mailing Address - Phone:520-546-2321
Mailing Address - Fax:520-296-4511
Practice Address - Street 1:2122 N CRAYCROFT RD STE 124
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2829
Practice Address - Country:US
Practice Address - Phone:520-546-2321
Practice Address - Fax:520-296-4511
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ-01-636175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath