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Individual

DAVID ROGER ALLEN JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
404 HATFIELD CT, LUMBERTON, NC 28358-1126
(910) 738-3358
(910) 738-9174
Mailing address
404 HATFIELD CT, LUMBERTON, NC 28358-1126
(910) 738-3358
(910) 738-9174

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
98-004444
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0157L
BLUE CROSS BLUE SHIELD
NC
05
790157L
NC
Enumeration date
10/20/2005
Last updated
07/08/2007
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