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DR. MICHAEL W ALLEN DO
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1003892761
Individual Registrant:DR. MICHAEL W ALLEN DO
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
220 E ROGERS RD LONGMONT, CO 80501-6027 US
Tel: 303-776-3250 Fax: 303-682-9269
Tel: 303-776-3250 Fax: 303-682-9269
Contact information for business:
203 S ROLLIE AVE BILLING DEPT - CREDENTIALIST FORT LUPTON, CO 80621-1508 US
Tel: 303-286-4560 Fax: 303-286-4589
Tel: 303-286-4560 Fax: 303-286-4589
Registration Information:
NPI: 1003892761
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CO | DR.0041745 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 29759331 | CO | 05 |
