Individual
DR. DANIEL JUDE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
381 S MIDDLETON RD STE B, MIDDLETON, ID 83644-5369
(208) 585-6311
(208) 585-6221
Mailing address
PO BOX 277976, ATLANTA, GA 30384-7976
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
O-387
ID
207Q00000X
Family Medicine Physician
Primary
O-0387
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806904100
—
ID
Enumeration date
06/30/2006
Last updated
01/26/2022
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