Individual
DR. GARY G. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
101 E BRUNSON ST, SUITE 200, ENTERPRISE, AL 36330-2526
(334) 393-3686
(334) 393-3686
Mailing address
101 E BRUNSON ST STE 200, ENTERPRISE, AL 36330-2500
(334) 393-3686
(334) 393-3686
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11425
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000036206
—
AL
01
—
51036206
BCBS OF ALABAMA
AL
Enumeration date
08/25/2005
Last updated
12/02/2009
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