Provider Demographics
NPI:1043951742
Name:CM6, PLLC
Entity type:Organization
Organization Name:CM6, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICIAN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:CORBIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ALLRED
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C, MPAS
Authorized Official - Phone:818-903-9006
Mailing Address - Street 1:2743 E 3580 S
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7284
Mailing Address - Country:US
Mailing Address - Phone:818-903-9006
Mailing Address - Fax:
Practice Address - Street 1:2743 E 3580 S
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7284
Practice Address - Country:US
Practice Address - Phone:818-903-9006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty