Individual provider · NPI-1
Dominic Allan, D.O.
Family Medicine · Cedar Falls, IA
NPI number1083461024
StatusActive
Last updated in NPPESMay 26, 2024
Details
- NPI
- 1083461024
- Entity type
- Individual (NPI-1)
- Name
- Dominic Allan
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 6, 2024
- Certification date
- May 26, 2024
- Last updated
- May 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | R-13069 | IA | Yes |
Practice location
5100 Prairie Pkwy Ste 205Cedar Falls, IA 50613-8155
Phone 319-222-2711 · Fax 319-222-2714
Mailing address
610 E Main St # 1059Wellington, UT 84542-9998
Phone 239-675-1996
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