Individual
DR. DANIEL P. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-24247
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110073399
RR MEDICARE
IA
05
—
1223800
—
IA
05
—
1376548784
—
IA
05
—
2223800
—
IA
Enumeration date
06/14/2005
Last updated
03/11/2015
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