Individual
JUSTIN ALLEN
Active
Individual
JUSTIN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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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