Individual
GEORGE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9580 MAPLE WAY, INDIANAPOLIS, IN 46268-3279
(317) 313-5008
Mailing address
PO BOX 68081, INDIANAPOLIS, IN 46268-0081
(317) 313-5008
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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