# DR. CLINT TANNER ALLEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1861697021
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 0101275391 | VA | — |
| 207Y00000X | Otolaryngology Physician | D76403 | MD | Yes |
| 207Y00000X | Otolaryngology Physician | MD60276311 | WA | — |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 11/15/2022