person
Dr. Richard Michael Allen, DPM
Foot & Ankle Surgery Podiatrist in Lewiston, Idaho
NPI 1093717787

Richard Michael Allen is a Foot & Ankle Surgery Podiatrist based in Lewiston, ID and is specialized in Foot & Ankle Surgery. Richard Michael Allen practices in Lewiston, ID and has the professional credentials of DPM. The NPI Number for Richard Michael Allen is 1093717787 and holds a License No. P-143 (Idaho).

The current practice location address for Richard Michael Allen is 1630 23Rd Ave, Lewiston, ID and can be reached out via phone at 208-743-3688 and via fax at 208-743-5162.

Location: 1630 23Rd Ave, Lewiston, ID, 83501-6350
person
Provider Profile Details
NPI Number
1093717787
Provider Name
Richard Michael Allen
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1630 23Rd Ave, Lewiston, ID, 83501-6350
Phone Number
208-743-3688
Fax Number
208-743-5162
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0027887 05 ID
000010015686 01 ID REGENCE BLUESHIELD OF ID
P9186 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
1630 23Rd Ave
City
State
Zip
83501-6350
Phone Number
208-743-3688
Fax Number
208-743-5162
person
Provider Business Mailing Address Details
Address
1630 23Rd Ave
City
State
Zip
83501-6350
Phone Number
208-743-3688
Fax Number
208-743-5162
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
P-143 (Idaho)
Definition
Definition to come...
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