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Individual
GRANT R ALLEN
Active
Individual
GRANT R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24600
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317560
—
AL
05
—
318488
—
AL
01
—
513-05147
BCBS
AL
Enumeration date
08/04/2006
Last updated
07/05/2024
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