Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 0101231155 | VA |
NPI | 1023094976 |
---|---|
Provider Name | Dr. Jay E. Allard |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23298-5054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 02/01/2020 |