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Individual
DR. VON W ALLEMAN
Active
Individual
DR. VON W ALLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
176265-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107001667101
IHC
UT
01
—
234962
DMBA-CHP
UT
01
—
60054
AETNA
UT
05
—
870395551005
—
UT
01
—
870395551AL1
EMIA- CHP
UT
01
—
P00082870
RAILROAD MEDICARE
UT
01
—
QM0000024316
CHP- ALTIUS
UT
Enumeration date
07/20/2006
Last updated
07/08/2007
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