Individual
ELI ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(859) 333-1647
Mailing address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(859) 333-1647
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO.3248
AL
390200000X
Student in an Organized Health Care Education/Training Program
OT020391
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/20/2019
Last updated
06/06/2023
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