Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS015708 | PA |
NPI | 1457658015 |
---|---|
Provider Name | Dr. Donald Lee Allison II |
First Address | Philadelphia, PA 19131-1626 |
Second Address | Philadelphia, PA 19131-1626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2011 |
Last Update Date | 11/04/2016 |