Individual
GREGORY JAMES ALLEN
Active
Individual
GREGORY JAMES ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G046247
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00024406
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106AL
REGENCE
—
01
—
139363
LI
WA
01
—
300111928
RAILROAD
WA
01
—
55900
LI
WA
05
—
7822109
—
WA
05
—
8135865
—
WA
01
—
910849248
TAX ID
—
01
—
WE4663
REGENCE
—
Enumeration date
03/22/2006
Last updated
04/01/2015
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