Individual
DOUGLAS R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5875 BREMO RD STE 500, RICHMOND, VA 23226-1928
(804) 297-3055
(804) 297-3056
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101057844
VA
2080P0202X
Pediatric Cardiology Physician
Primary
0101057844
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6721541
—
VA
Enumeration date
09/07/2006
Last updated
10/19/2020
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