Individual
BRENT OWEN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1000
Mailing address
21416 STONEHAVEN CIR, GRETNA, NE 68028-6921
(801) 602-0769
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
47207
WY
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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