Individual provider · Type 1 NPI
Otis George Allen, MD
Plastic Surgery Physician · Bloomington, IL
Practice location
1215 Holiday Dr
Bloomington, IL 61704-2214
Fax (309) 661-0234
Mailing address
53 Prenzler Dr
Bloomington, IL 61704-1299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician Primary | 208200000X | 036064804 (IL) |
Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…
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About NPI 1306847900
Otis George Allen, MD's National Provider Identifier is 1306847900, issued on Aug 3, 2005. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Bloomington, IL. The record was last updated on Aug 17, 2016.