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Individual

MS. ALLISON MARIE AST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C181963
CA
2080P0207X
Pediatric Hematology & Oncology Physician
56442
TN
208M00000X
Hospitalist Physician
56442
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2461117
LA
Enumeration date
03/26/2011
Last updated
11/03/2022
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