Individual
DR. ALLEN E PRIEST JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6600 MERCY CT, SUITE 210, FAIR OAKS, CA 95628-3158
(916) 967-8201
Mailing address
5704 RAVENSWOOD LN, CARMICHAEL, CA 95608-2240
(916) 967-8201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00G20549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G205491
—
CA
Enumeration date
11/08/2006
Last updated
07/08/2007
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