Dr. Clint Tanner Allen, M.D.
Otolaryngology in Bethesda, MD. Individual provider (NPI-1).
NPI number1861697021
StatusActive
Last updated in NPPESNov 15, 2022
Details
- NPI
- 1861697021
- Entity type
- Individual (NPI-1)
- Name
- Dr. Clint Tanner Allen
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2007
- Certification date
- Nov 15, 2022
- Last updated
- Nov 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | D76403 | MD | Yes |
| 207Y00000X | Otolaryngology | MD60276311 | WA | |
| 207Y00000X | Otolaryngology | 0101275391 | VA |
Practice location
6420 Rockledge DrSuite 4920
Bethesda, MD 20817-7837
Phone 301-896-3331
Mailing address
6420 Rockledge DrSuite 4920
Bethesda, MD 20817-7837
Phone 301-896-3331
Other practice locations
8081 Innovation Park Dr
Fairfax, VA 22031-4867
Fairfax, VA 22031-4867
Phone 571-472-4724 · Fax 571-472-0241
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