Individual
DR. DUSTIN SHEA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5510
(228) 809-5519
Mailing address
3602 PERRYMAN RD, OCEAN SPRINGS, MS 39564-1046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20612
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20612
MISSISSIPPI STATE BOARD OF MEDICAL LICENSURE
MS
Enumeration date
05/23/2007
Last updated
03/28/2025
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