Healthcare Provider Details

I. General information

NPI: 1295795169
Provider Name (Legal Business Name): ROBERT P ALLEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 12/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 UNIVERSITY BLVD STE 102, RADIOLOGY SPECIALISTS OF DENVER
DENVER CO
80206
US

IV. Provider business mailing address

210 UNIVERSITY BLVD STE 102, RADIOLOGY SPECIALISTS OF DENVER
DENVER CO
80206
US

V. Phone/Fax

Practice location:
  • Phone: 720-941-7000
  • Fax: 720-941-7070
Mailing address:
  • Phone: 720-941-7000
  • Fax: 720-941-7070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number26785
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: