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Individual
H. BRADFORD ALLEN
Active
Individual
H. BRADFORD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E5621
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181296001
—
AR
01
—
5H307B481
MEDICARE PTAN
AR
01
—
5H608
ARKANSAS BLUE CROSS BLUE SHEILD
AR
Enumeration date
10/09/2006
Last updated
02/07/2022
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