NPI 1093717787

Richard Michael Allen, DPM

Practitioner Foot & Ankle Surgery Podiatrist Lewiston, ID

Practice location

Address: 1630 23rd Ave Suite 1001, Lewiston, ID 83501-6350
Phone: (208) 743-3688
Fax: (208) 743-5162

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence P-143 (ID)

Other Podiatrist providers in Idaho →

Registry record

NPI: 1093717787
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2005
Record last updated: 7 Nov 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.