Individual
SAMUEL CASEY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 W 12TH AVE FL 4, COLUMBUS, OH 43210-1267
(614) 366-0768
(614) 293-6935
Mailing address
395 W 12TH AVE FL 4, COLUMBUS, OH 43210-1267
(614) 366-0768
(614) 293-6935
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
57.254079
OH
Other
Enumeration date
03/25/2022
Last updated
08/13/2023
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