NPI 1003892761

Michael W Allen, DO

Practitioner Family Medicine Physician Longmont, CO

Practice location

Address: 220 E Rogers Rd, Longmont, CO 80501-6027
Phone: (303) 776-3250
Fax: (303) 682-9269
Mailing address: 203 S Rollie Ave Billing Dept - Credentialist, Fort Lupton, CO 80621-1508

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DR.0041745 (CO)

Other Family Medicine providers in Colorado →

Registry record

NPI: 1003892761
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Dec 2005
Record last updated: 15 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.