Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 0101036337 | VA |
NPI | 1215003660 |
---|---|
Provider Name | Dr. James F Allen |
First Address | Virginia Beach, VA 23462-6028 |
Second Address | Virginia Beach, VA 23462-6028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 28/01/2013 |