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Individual

ROBERT B ALLEN

Active
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Individual

ROBERT B ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
66638-20
WI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
C-6367
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103081001
AR
Enumeration date
07/26/2006
Last updated
03/06/2017
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