Individual
JUSTIN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3000
Mailing address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018-00945
NC
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
2018-00945
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2015
Last updated
08/24/2020
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