Individual
RUSSELL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837
Mailing address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME42760
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME42760
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33733821
—
CO
Enumeration date
05/12/2006
Last updated
10/22/2014
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