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Individual

GINGER A. ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1900 W CHINDEN BLVD, MERIDIAN, ID 83646-6690
(208) 955-6500
(208) 955-6503
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6503

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-14604
ID
207Q00000X
Family Medicine Physician
MD00041706
WA
207QA0505X
Adult Medicine Physician
MD00041706
WA

Other

Enumeration date
06/29/2006
Last updated
07/17/2019
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