Individual
SANDRA ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
33584
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034238100
—
DC
05
—
299105501
—
MD
01
—
300131925
MEDICARE RAILROAD
—
05
—
7242026
—
VA
Enumeration date
07/12/2005
Last updated
02/24/2012
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