Provider / Organization | NPI | Date Certified |
---|---|---|
SAMUEL CASEY ALLEN | 1659021319 | 2023-08-13 |
Samuel Casey Allen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659021319. Registration indicates Samuel Casey Allen is a provider of services with a specialization in Diagnostic Radiology (Radiology) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
Entity Type | Individual |
Provider Name | Samuel Casey Allen MD |
Practice Office Address | 395 W 12TH AVE FL 4 COLUMBUS, OH US |
Practice Office Telephone | 6143660768 |
Practice Office Fax | 6142936935 |
Mailing Address | 395 W 12TH AVE FL 4 COLUMBUS, OH 432101267 US |
Business Telephone | 6143660768 |
Business Fax | 6142936935 |
Code | Practice | License No State |
---|---|---|
2085R0202X PRIMARY | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | 57.254079
OH |