# MARK L ALLEN MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164798906
- **Authorized official:** DR. MARK L ALLEN MD (OWNER)
- **Authorized official phone:** (216) 674-5230

## Contact information

- **Practice address:** 6701 ROCKSIDE RD, SUITE 200, INDEPENDENCE, OH 44131-2358
- **Practice address phone:** (216) 674-5230
- **Practice address fax:** (216) 674-5231
- **Mailing address:** 6701 ROCKSIDE RD, SUITE 200, INDEPENDENCE, OH 44131-2358
- **Mailing address phone:** (216) 674-5230
- **Mailing address fax:** (216) 674-5231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 18589 | KS | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 11/30/2012