Individual
RUSSELL TODD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
130 E LOCKLING ST, BROOKFIELD, MO 64628-2337
(660) 258-2222
Mailing address
5207 SW RAINTREE PKWY, LEES SUMMIT, MO 64082-4529
(785) 477-8507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2013041285
MO
Other
Enumeration date
03/20/2012
Last updated
04/30/2023
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