Individual
DENSLOW ALLERTON TRUMBULL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-8017
Mailing address
PO BOX 103450, GAINESVILLE, FL 32610-3450
(352) 265-8017
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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