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Individual
JOHN G ALLRED
Active
Individual
JOHN G ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5340827-1204
UT
Other
Enumeration date
09/29/2005
Last updated
01/18/2017
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