Individual
DR. BRADLEY R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 WEST MAIN STREET, NEWAR, OH 43055
(220) 564-4151
(220) 564-7153
Mailing address
1320 WEST MAIN STREET, NEWARK, OH 43055
(220) 564-4151
(220) 564-7153
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35074360
OH
207P00000X
Emergency Medicine Physician
Primary
35074360A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065527
—
OH
Enumeration date
08/01/2006
Last updated
03/24/2023
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