Individual
DR. MATTHEW W ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
963 BUTTE ST, REDDING, CA 96001-0828
(530) 245-5900
(530) 245-5909
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A111934
CA
2085R0001X
Radiation Oncology Physician
ME102606
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000738600
—
FL
01
—
1235301714
CALIFORNIA CHILDRENS SERVICES PROGRAM
CA
01
—
3285093
CIGNA
CA
01
—
3285093
CIGNA
FL
01
—
9973229
AETNA
FL
01
—
P00857460
RAILROAD MEDICARE
CA
01
—
P202295
FREEDOM OPTIMUN
FL
01
—
P304208
FREEDOM HEALTH
FL
Enumeration date
03/25/2008
Last updated
05/24/2011
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