Individual
DR. LOREN BARRY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1223 W POPLAR ST, ROGERS, AR 72756-4245
(479) 636-9235
(479) 631-0374
Mailing address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
(479) 751-4898
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
C4685
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101132001
—
AR
Enumeration date
05/01/2006
Last updated
04/09/2020
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