Individual
DENISE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2827 FORT MISSOULA RD, CMC REHABILITATION PHYSICIANS, MISSOULA, MT 59804
(406) 327-4430
Mailing address
PO BOX 16900, MISSOULA, MT 59808
(406) 327-4620
(406) 549-5928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
364SR0400X
Rehabilitation Clinical Nurse Specialist
5043
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000079320
BCBS
—
05
—
1821198045
—
MT
Enumeration date
09/25/2006
Last updated
06/16/2008
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