Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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DR. OTIS GEORGE ALLEN M.D.

Surgery Yellow Pages

Bloomington, Illinois

Provider NPI: 1306847900

Provider Information:
DR. OTIS GEORGE ALLEN M.D.


Practice Location:
1215 HOLIDAY DR  BLOOMINGTON, IL 61704 US
Tel: 309-827-3881  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208200000XPhysicians
Plastic Surgery
IL036064804

Other Provider Identifiers:

IssuerNumberStateType
036064804IL05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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