William Randolph Allen, OD

NPI #1396770475 in Jasper, Tennessee

Provider Information

NPI Number: 1396770475
Entity Type: Individual
Name: William Randolph Allen, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 11, 2006
Last Updated: Mar 19, 2008

Practice Location

Address: 4597 MAIN ST
City: Jasper
State: Tennessee
ZIP Code: 37347-3540
Phone: (423) 942-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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