Individual
ALLEN BELO ETTENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1227 WARM SPRINGS AVE, J. C. BLAIR MEDICAL BUILDING, STE. 301, HUNTINGDON, PA 16652-2300
(814) 643-8574
(814) 643-8659
Mailing address
1227 WARM SPRINGS AVE, STE. 301, HUNTINGDON, PA 16652-2300
(814) 643-8574
(814) 643-8659
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD033218
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010017640005
—
PA
Enumeration date
05/28/2006
Last updated
07/01/2011
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