Individual
DR. ROGER LEE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 221-8671
(319) 369-4495
Mailing address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 221-8671
(319) 369-4495
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
21339
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451674
—
IA
Enumeration date
11/30/2005
Last updated
01/17/2008
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