MEDICARE: DR. ABIGAIL HARMON ALLARD M.D.

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
1	208000000X	Pediatrics Physician	0101232908	VA

General Provider Information

NPI Number	:	1295717619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABIGAIL HARMON ALLARD M.D.

Provider Business Mailing Address
First Line	:	1801 HICKMAN RD
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50314-1597
Country	:	US
Telephone Number	:	515-282-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 HICKMAN RD
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50314-1597
Country	:	US
Telephone Number	:	515-282-2200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2005
Last Update Date	:	09/10/2021

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