Individual
ALLISON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 S JACKSON ST, SUITE 100, DENVER, CO 80209-3176
(303) 321-0222
Mailing address
300 S JACKSON ST, SUITE 100, DENVER, CO 80209-3176
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3408
CO
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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