Individual
DR. CRAIG RUSSELL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2512 N TAMIAMI TR, NOKOMIS, FL 34275
(941) 966-2342
(941) 966-5864
Mailing address
2512 N TAMIAMI TR, NOKOMIS, FL 34275
(941) 966-2342
(941) 966-5864
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0S0003672
FL
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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