Provider Demographics
NPI:1659575686
Name:ALLEN, DOUGLAS A (DO)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:A
Last Name:ALLEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1055 N 500 W
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-3305
Mailing Address - Country:US
Mailing Address - Phone:801-354-8225
Mailing Address - Fax:801-418-0941
Practice Address - Street 1:1886 WEST 800 NORTH
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-4097
Practice Address - Country:US
Practice Address - Phone:801-756-5288
Practice Address - Fax:801-756-7589
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
UT315745-1204207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics