MEDICARE: DAVID ROSS ALLEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	9200	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	002000393	OTHER	AZ	CIGNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	AZ0340020	OTHER	AZ	BLUE CROSS
4	013152	OTHER	AZ	CMDP

General Provider Information

NPI Number	:	1255319174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ROSS ALLEN MD

Provider Business Mailing Address
First Line	:	2001 W ORANGE GROVE RD
Second Line	:	# 312
City	:	TUCSON
State	:	AZ
Zip	:	85704-1141
Country	:	US
Telephone Number	:	520-544-2449
Fax Number	:	520-544-2934

Provider Business Practice Location Address
First Line	:	2001 W ORANGE GROVE RD
Second Line	:	# 312
City	:	TUCSON
State	:	AZ
Zip	:	85704-1141
Country	:	US
Telephone Number	:	520-544-2449
Fax Number	:	520-544-2934

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	02/25/2009

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Directions to “ DAVID ROSS ALLEN MD” Practice Location

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