Dr RUSSELL ALLEN MD is a male medical professional, specializing in Anesthesiology. He graduated in 1990 from University Of Texas Southwestern Medical School At Dallas.
POUDRE VALLEY MEDICAL GROUP LLC
1400 E BOULDER ST
SUITE 2508
COLORADO SPRINGS
CO
809095533
Tel: 7193656999
| Npi | 1013968403 |
| Pac Id | 6103807060 |
| Professional Enrollment Id | I20041221001042 |
| Last Name | ALLEN |
| First Name | RUSSELL |
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| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1990 |
| Primary Specialty | ANESTHESIOLOGY |
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| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Group Practice Pac Id | 9638208549 |
| Number Of Group Practice Members | 1002 |
| Line 1 Street Address | 1400 E BOULDER ST |
| Line 2 Street Address | SUITE 2508 |
| Marker Of Address Line 2 Suppression | |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 809095533 |
| Phone Number | 7193656999 |
| Hospital Affiliation Ccn 1 | 060022 |
| Hospital Affiliation Lbn 1 | UCH-MEMORIAL HEALTH SYSTEM |
| Hospital Affiliation Ccn 2 | 060130 |
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| Professional Accepts Medicare Assignment | Y |
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