Provider Demographics
NPI:1649256579
Name:THORNTON, ALLAN F (MD)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:F
Last Name:THORNTON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:40 ENTERPRISE PARKWAY
Mailing Address - Street 2:HAMPTON PROTON THERAPY INSTITUTE
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-5800
Mailing Address - Country:US
Mailing Address - Phone:757-251-6800
Mailing Address - Fax:757-251-6920
Practice Address - Street 1:40 ENTERPRISE PKWY
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5800
Practice Address - Country:US
Practice Address - Phone:757-251-6800
Practice Address - Fax:757-251-6920
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2015-02-17
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Provider Licenses
StateLicense IDTaxonomies
IN01055682A2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200443990Medicaid
IN200443990Medicaid
IN200443990Medicaid