DONALD WAIN ALLEN NPI 1538344411

NPI Information

DONALD WAIN ALLEN is a rural health clinic center in Coalville, UT. DONALD WAIN ALLEN NPI is 1538344411. The provider is registered as an organization entity type.
The provider Is Doing Business As Coalville Health Center.

The provider's business location address is:

142 SOUTH 50 EAST
COALVILLE, UT
ZIP 84017
Phone: (435) 336-4403
Fax: (435) 336-5570

The provider's authorized official is D. Wain Allen, Md .
The authorized official title is Owner and has the following contact phone number (435) 336-4403.

The CLIA number assigned to this NPI record is 46D0522628 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/9/2008 and was last updated on 2/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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