Individual
DR. MICHAEL DAVID ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
100 WILLOW ROAD, STARKVILLE, MS 39759
(662) 320-9300
(662) 320-9356
Mailing address
100 WILLOW ROAD, STARKVILLE, MS 39759
(662) 320-9300
(662) 320-9356
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
911
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07358016
—
MS
Enumeration date
09/30/2006
Last updated
05/08/2009
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