Provider Demographics
NPI:1508814922
Name:ALLEN, STEVEN L (MD)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:L
Last Name:ALLEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2175 US HIGHWAY 31 N
Mailing Address - Street 2:
Mailing Address - City:DEATSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36022-2714
Mailing Address - Country:US
Mailing Address - Phone:334-568-2120
Mailing Address - Fax:334-568-2140
Practice Address - Street 1:3769 HWY 14
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054
Practice Address - Country:US
Practice Address - Phone:334-285-3222
Practice Address - Fax:334-285-6555
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2020-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00013124207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51512180OtherBCBS
AL51512180OtherBCBS