Individual provider · NPI-1

Louis S Allen, M.D.

Pediatrics, Developmental - Behavioral Pediatrics · Salt Lake City, UT

NPI number1891745345
StatusActive
Last updated in NPPESFeb 29, 2012

Details

NPI
1891745345
Entity type
Individual (NPI-1)
Name
Louis S Allen
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 12, 2006
Last updated
Feb 29, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics168306-1205UTYes

Practice location

44 N Medical Dr
Salt Lake City, UT 84113-1105

Phone 801-584-8549

Mailing address

Po Box 9757
Salt Lake City, UT 84109-9757

Phone 801-466-7569

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