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Individual

ROBERT ALLEN COMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12737
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
12737
AZ
207RP1001X
Pulmonary Disease Physician
Primary
12737
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12737
AZ MD LIC
AZ
05
235946
AZ
Enumeration date
05/18/2006
Last updated
09/14/2023
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