Individual
DR. ALLAN DOCTOR
Active
Individual
DR. ALLAN DOCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
2006031510
MO
208000000X
Pediatrics Physician
2006031510
MO
2080P0203X
Pediatric Critical Care Medicine Physician
2006031510
MO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
D88326
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204914402
—
MO
05
—
502384000
—
MD
05
—
ENROLLED
—
IL
Enumeration date
11/03/2006
Last updated
01/06/2020
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