DR. Otis George Allen, M.D.

NPI #1306847900 in Bloomington, Illinois

Provider Information

NPI Number: 1306847900
Entity Type: Individual
Name: DR. Otis George Allen, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Plastic Surgery
Credential: M.D.
Enumeration Date: Aug 3, 2005
Last Updated: Aug 17, 2016

Practice Location

Address: 1215 HOLIDAY DR
City: Bloomington
State: Illinois
ZIP Code: 61704-2214
Phone: (309) 827-3881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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