Daniel J Allen DO PC
Family Medicine in Meridian, ID. Organization (NPI-2).
NPI number1861995102
StatusActive
Last updated in NPPESJan 26, 2021
Details
- NPI
- 1861995102
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel J Allen DO PC
- Organization subpart
- No
- Enumeration date
- Mar 13, 2018
- Certification date
- Jan 26, 2021
- Last updated
- Jan 26, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
39 W Pine Ave Ste B20Meridian, ID 83642-2412
Phone 208-286-8670 · Fax 888-990-2969
Mailing address
Po Box 1259Meridian, ID 83680-1259
Phone 208-286-8670
Authorized official
Daniel J Allen
Owner
2087392661
Is something wrong?
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