Eddie Allen, CST, CLT
NPI #1043245442 in Bridgeport, West Virginia
Provider Information
- NPI Number
- 1043245442
- Entity Type
- Individual
- Name
- Eddie Allen, CST, CLT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Credential
- CST, CLT
- Enumeration Date
- Jul 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 166 THOMPSON DR
- City
- Bridgeport
- State
- West Virginia
- ZIP Code
- 26330-1644
- Phone
- (304) 842-6001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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