Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35056406 | OH |
NPI | 1033101399 |
---|---|
Provider Name | Dr. William D Allen |
First Address | Zanesville, OH 43701-1721 |
Second Address | Zanesville, OH 43701-1721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 12/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0836804 | (05) | OH |
E87664 | (02) | OH |