Provider Demographics
NPI:1457658015
Name:ALLISON, DONALD LEE II (DO)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:LEE
Last Name:ALLISON
Suffix:II
Gender:M
Credentials:DO
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Mailing Address - Street 1:4190 CITY AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-1626
Mailing Address - Country:US
Mailing Address - Phone:215-871-6425
Mailing Address - Fax:215-871-6490
Practice Address - Street 1:4190 CITY AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1626
Practice Address - Country:US
Practice Address - Phone:215-871-6425
Practice Address - Fax:215-871-6490
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2016-04-11
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Provider Licenses
StateLicense IDTaxonomies
PAOS015708204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM