Individual
BERNAGIE E ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N COLLEGE AVE, FAYETTEVILLE, AR 72701-5311
(479) 444-5016
(479) 587-5980
Mailing address
1629 N RHONDA DR, FAYETTEVILLE, AR 72703-2042
(479) 251-1913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C 8225
AR
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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