Individual
H. BRADFORD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 AIRPORT RD, MARSHALL, AR 72650
(870) 448-3327
(870) 448-3798
Mailing address
PO BOX 1266, MARSHALL, AR 72650-1266
(870) 448-3327
(870) 448-3798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E5621
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181296001
—
AR
01
—
5H307B481
MEDICARE PTAN
AR
01
—
5H608
ARKANSAS BLUE CROSS BLUE SHEILD
AR
Enumeration date
10/09/2006
Last updated
02/07/2022
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