Provider Demographics
NPI:1316058019
Name:ALLEN, ANNA MARGARET (MD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARGARET
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9145
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-9145
Mailing Address - Country:US
Mailing Address - Phone:304-293-3693
Mailing Address - Fax:304-293-2629
Practice Address - Street 1:3801 HEALTH SCIENCES CENTER SOUTH
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506
Practice Address - Country:US
Practice Address - Phone:304-293-3693
Practice Address - Fax:304-293-2629
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV211632083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV4110772Medicare ID - Type Unspecified
WVH50739Medicare UPIN