Individual
DR. ALLEN A. ENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1151 HOSPITAL WAY, BLDG B, POCATELLO, ID 83201-5091
(208) 233-1187
(208) 233-1187
Mailing address
1871 ANITA PLACE, POCATELLO, ID 83201-1946
(208) 238-0546
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M-4519
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002332300
—
ID
Enumeration date
02/22/2006
Last updated
08/04/2014
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