Individual
MR. HENRY WILLIAM WEST ALLEN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2816 FOX MEADOW LN, JONESBORO, AR 72404-9346
(870) 336-1676
(870) 336-1679
Mailing address
623 N 9TH STREET, PO BOX 497, AUGUSTA, AR 72006
(870) 347-3300
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E4228
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157593001
—
AR
05
—
7100177820
—
KY
Enumeration date
04/25/2006
Last updated
11/08/2013
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