Whalio Doctors

NPI 1780679126

Clark Hunter Allen, MD

Practitioner Neurological Surgery Physician Idaho Falls, ID

Practice location

Address
3345 Potomac Way, Idaho Falls, ID 83404
Phone
(208) 552-6210
Fax
(208) 552-2027

Registered specialties

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence M8027 (ID)

Registry record

NPI
1780679126
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Sep 2005
Record last updated
21 Dec 2015

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.