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Individual

DR. SCOTT D ALLEN

Active
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Individual

DR. SCOTT D ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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