Individual
GREGORY W ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
4525 3RD AVE SE, SUITE 100, LACEY, WA 98503-1010
(360) 412-8960
(360) 412-8970
Mailing address
4525 3RD AVE SE, SUITE 100, LACEY, WA 98503-1010
(360) 412-8960
(360) 412-8970
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00047784
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508817404
NPI
—
05
—
8503872
—
WA
Enumeration date
05/15/2006
Last updated
03/22/2011
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