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Individual

RICHARD DARREN ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
900 E 13TH ST, SUITE 102, GROVE, OK 74344-2975
(918) 786-7200
(918) 786-7212
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(918) 786-7200
(918) 786-7212

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
3647
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100747570A
OK
05
200010200A
OK
01
3647
LICENSE
OK
Enumeration date
01/04/2006
Last updated
04/05/2017
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