Individual
MR. JOHN MELVIN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802E JOHNSON AVE, JONESBORO, AR 72401-8413
(870) 936-8000
(870) 934-3665
Mailing address
4200 STOCKTON DR, NORTH LITTLE ROCK, AR 72117-2915
(501) 219-8900
(501) 410-1148
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E-0514
AR
208800000X
Urology Physician
E0514
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127591001
—
AR
01
—
5J754C080
MEDICARE ID-TYPE UNSPECIFIED
AR
Enumeration date
02/15/2007
Last updated
11/06/2024
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