| Organization Name: | CLIFFORD G ALLEN II DPM PC |
| NPI Number: | 1568774867 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLIFFORD GEORGE ALLEN (PODIATRIST) |
| Mailing Address: | 422 S Haynie St Skiatook |
| State: | OK US |
| Postal Code: | 740701844 |
| Phone Number: | 9184065029 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2010 |
| NPI Last Update Date: | 07/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | 255 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |