Individual
TERRY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 HEALTH CENTER PKWY, YUKON, OK 73099-6381
(405) 717-6800
(405) 717-7964
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 717-6800
(405) 717-7964
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17266
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102570A
—
OK
Enumeration date
08/03/2006
Last updated
08/10/2017
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