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Individual

MICHAEL G ALLRED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
(801) 525-8151
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
(801) 525-8151

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3174981205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005536864
UT
05
005701363
UT
05
174728
UT
Enumeration date
12/21/2005
Last updated
04/08/2008
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