Provider Demographics
NPI:1265708424
Name:PALACIOS, ALISON MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:MARIE
Last Name:PALACIOS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3798 JANES RD. SUITE 10
Mailing Address - Street 2:
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521
Mailing Address - Country:US
Mailing Address - Phone:707-822-7041
Mailing Address - Fax:707-822-0655
Practice Address - Street 1:3798 JANES RD. SUITE 10
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521
Practice Address - Country:US
Practice Address - Phone:707-822-7041
Practice Address - Fax:707-822-0655
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-31
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A11631207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine