Individual
JOHN CLIFFORD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., D.A.A.E.T.S.
Contact information
Practice address
5721 5TH CT S, BIRMINGHAM, AL 35212-3211
(205) 567-0832
Mailing address
PO BOX 531166, MOUNTAIN BROOK, AL 35253-1166
(205) 567-0832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-083260
AL
173000000X
Legal Medicine
5064
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2573723
UNITED HEALTH CARE
AZ
01
—
438196
AHCCCS
AZ
Enumeration date
06/13/2006
Last updated
11/26/2016
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