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NPI Code Detail

MEDICARE: BECKY LEIGH ALLMON DO

MEDICARE:   BECKY LEIGH ALLMON  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician02002493AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043213325
Entity Type Code : Individual
Provider Name (Legal Business Name) : BECKY LEIGH ALLMON DO
Provider Business Mailing Address
First Line : 2415 MITCHELL RD STE C
Second Line :
City : BEDFORD
State : IN
Zip : 47421-4747
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2415 MITCHELL RD STE C
Second Line :
City : BEDFORD
State : IN
Zip : 47421-4747
Country : US
Telephone Number : 812-277-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 01/05/2023

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Directions to “ BECKY LEIGH ALLMON DO” Practice Location

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