Individual
DR. JOHN THOMAS ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1234 FRANKLIN RD SW, ROANOKE, VA 24016-4606
(540) 345-1561
(540) 345-2112
Mailing address
1234 FRANKLIN RD SW, ROANOKE, VA 24016-4606
(540) 345-1561
(540) 345-2112
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101026244
VA
Other
Enumeration date
07/01/2005
Last updated
07/08/2007
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