Individual
ALECIA P ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 S BLAIRSFERRY XING, SUITE A, HIAWATHA, IA 52233-7988
(319) 393-0783
(319) 393-0427
Mailing address
400 S BLAIRSFERRY XING, SUITE A, HIAWATHA, IA 52233-7988
(319) 393-0783
(319) 393-0427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35227
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271296
—
IA
05
—
1710963889
—
IA
05
—
2271296
—
IA
05
—
3271296
—
IA
01
—
P00368630
RR MEDICARE
IA
Enumeration date
12/20/2005
Last updated
05/16/2012
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