Individual
RICHARD M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 993-9582
(801) 733-5618
Mailing address
2975 EXECUTIVE PKWY, SUITE 200, LEHI, UT 84043-9642
(801) 990-1911
(801) 990-1912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
149879-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107005076101
IHC
UT
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
35322
DESERET MUTUAL
UT
01
—
37772
PEHP
UT
01
—
53225
HEALTHY U
UT
01
—
8597445
WORKERS COMP. FUND
UT
01
—
870545614AL1
EDUCATORS MUTUAL
UT
01
—
PRA02496
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
07/31/2006
Last updated
07/08/2007
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