Individual
DR. CLINTON JOSEPH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 NORTHWOOD DR, CENTRE, AL 35960-1022
(256) 927-3607
(256) 927-3606
Mailing address
401 NORTHWOOD DR, CENTRE, AL 35960-1022
(256) 927-3607
(256) 927-3606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25463
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009996745
—
AL
01
—
51001409
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/12/2006
Last updated
01/31/2011
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