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Individual

DR. WILLIAM J. ALLEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28240
MT
208000000X
Pediatrics Physician
43930
KY
208000000X
Pediatrics Physician
Primary
MED-PHYS-LIC-28240
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932409133
MT
05
201005260
IN
05
7100140630
KY
Enumeration date
10/22/2010
Last updated
01/21/2026
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