Organization
DPMALLENPRAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R ALLEN DPM (OWNER)
(205) 758-8809
Entity
Organization
Contact information
Practice address
215 HARGROVE RD E, TUSCALOOSA, AL 35401-5027
(205) 758-8809
(205) 758-8870
Mailing address
215 HARGROVE RD E, TUSCALOOSA, AL 35401-5027
(205) 758-8809
(205) 758-8870
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
294
AL
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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