Individual
COLLEEN MELISSA LEATHRUM ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3602 MONUMENT AVE, RICHMOND, VA 23230-4905
(804) 358-4904
Mailing address
3602 MONUMENT AVE, RICHMOND, VA 23230-4905
(804) 358-4904
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102207723
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
06/02/2023
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