Individual
DR. MICHAEL W ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
220 E ROGERS RD, LONGMONT, CO 80501-6027
(303) 776-3250
(303) 682-9269
Mailing address
203 S ROLLIE AVE, BILLING DEPT - CREDENTIALIST, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0041745
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29759331
—
CO
Enumeration date
12/15/2005
Last updated
07/15/2016
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