Richard Michael Allen DPM

NPI 1093717787 - Podiatrist - 213ES0103X

NPI Details
NPI 1093717787
Gender Male
Enumeration Date 08/11/2005
Last Updated 11/07/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1630 23RD AVE
SUITE 1001
LEWISTON ID, 83501-6350, US
Phone (208) 743-3688
Fax (208) 743-5162
Business Location
1630 23RD AVE
SUITE 1001
LEWISTON ID, 83501-6350, US
Phone (208) 743-3688
Fax (208) 743-5162
Toxanomy
Taxonomy Code 213ES0103X
License State Idaho
License Number P-143
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According to our database, Dr. Richard Michael Allen DPM NPI is 1093717787, taxonomy code is 213ES0103X and license number is P-143, license state is located at Idaho. Richard Michael Allen DPM physically located at 1630 23rd Ave, Lewiston ID, 83501-6350. NPI Number Richard Michael Allen DPM has the Individual type.

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1093717787 NPI number is provided on an as is basis without warranty of any kind. 1093717787 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Michael Allen DPM are for informational purposes only.