Provider Demographics
NPI:1083793863
Name:GEE, ALLEN L (MD, PHD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:L
Last Name:GEE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 13TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-3677
Mailing Address - Country:US
Mailing Address - Phone:307-578-1985
Mailing Address - Fax:307-578-1938
Practice Address - Street 1:1008 13TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-3677
Practice Address - Country:US
Practice Address - Phone:307-578-1985
Practice Address - Fax:307-578-1938
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY6448A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY115509100Medicaid
WYW9868Medicare ID - Type Unspecified
WY115509100Medicaid