Individual provider · NPI-1

Bernagie E Allen, MD

Family Medicine · Fayetteville, AR

NPI number1255355996
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1255355996
Entity type
Individual (NPI-1)
Name
Bernagie E Allen
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 26, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineC 8225ARYes

Practice location

100 N College Ave
Fayetteville, AR 72701-5311

Phone 479-444-5016 · Fax 479-587-5980

Mailing address

1629 N Rhonda Dr
Fayetteville, AR 72703-2042

Phone 479-251-1913

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