Individual
DR. ANDREW W. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 727-2056
(770) 701-6675
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 727-2056
(770) 701-6675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11950062-1204
UT
207L00000X
Anesthesiology Physician
N1976
TX
Other
Enumeration date
11/07/2007
Last updated
10/25/2021
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