Individual
DR. SCOTT D ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 E 30TH ST, STE 105, FARMINGTON, NM 87401-8990
(505) 327-0406
(505) 326-4691
Mailing address
2300 E 30TH ST, STE 105, FARMINGTON, NM 87401-8990
(505) 327-0406
(505) 326-4691
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
95-172
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180038671
RAILROAD MEDICARE
NM
01
—
201000176
PRESBYTERIAN HEALTH PLAN
NM
01
—
3441
LOVELACE
NM
01
—
8504657687401A003WES
TRICARE #
NM
01
—
NM003476
BCBS #
NM
01
—
PROVP11233
MOLINA SALUD
NM
05
—
T9815
—
NM
Enumeration date
04/27/2006
Last updated
05/28/2008
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