Individual
EVERETT DOUGLAS ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2413 2ND ST, EUREKA, CA 95501-0811
(707) 269-9590
(707) 444-8012
Mailing address
PO BOX 98, CRESCENT CITY, CA 95531-0098
(707) 464-7863
(707) 465-6284
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
G54881
CA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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