Doctor Name: | ALISON BIBLE ALLEN |
NPI Number: | 1285780874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 48812 |
Business Practice Address: | 350 Market St Suite 316 Basalt, CO - 816217402 |
Business Phone Number: | 9709271141 |
Business Fax Number: | 9704227123 |
Mailing Address: | 350 Market St, Suite 316 BASALT |
State: | CO |
Postal Code: | 816217402 |
Phone Number: | 9709271141 |
Fax Number: | 9704227123 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 06/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 48812 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |