Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 15055 | AL |
NPI | 1043265762 |
---|---|
Provider Name | Michael Allon |
First Address | Birmingham, AL 35255-5309 |
Second Address | Birmingham, AL 35233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 07/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000081785 | (05) | AL |
000081785 | BLUE CROSS (01) | AL |
16141 | HEALTHSPRING (01) | AL |
D44705 | VIVA (01) | AL |