NPI 1043245442

Eddie Allen, CSTCLT

Practitioner Other Technician Bridgeport, WV

Practice location

Address: 166 Thompson Dr, Bridgeport, WV 26330-1644
Phone: (304) 842-6001
Fax: (304) 842-6111

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in West Virginia →

Registry record

NPI: 1043245442
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.