Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35086124 | OH |
N | 208600000X | Surgeon | 35086124 | OH |
Y | 2086S0102X | Surgical Critical Care | MD434514 | PA |
N | 2086S0127X | Trauma Surgeon | MD434514 | PA |
NPI | 1326259615 |
---|---|
Provider Name | Steven Ray Allen |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033-2360 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 05/04/2016 |