Provider Demographics
NPI:1295795169
Name:ALLEN, ROBERT P (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:P
Last Name:ALLEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:210 UNIVERSITY BLVD
Mailing Address - Street 2:STE 102, RADIOLOGY SPECIALISTS OF DENVER
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206
Mailing Address - Country:US
Mailing Address - Phone:720-941-7000
Mailing Address - Fax:720-941-7070
Practice Address - Street 1:210 UNIVERSITY BLVD
Practice Address - Street 2:STE 102, RADIOLOGY SPECIALISTS OF DENVER
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206
Practice Address - Country:US
Practice Address - Phone:720-941-7000
Practice Address - Fax:720-941-7070
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO267852085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2233054OtherAETNAM HMO
841522556009OtherRMHMO
841522556OtherWORKERS COMP
RA362108OtherBCBS
4233192OtherAETNA PPO
84152255601OtherPACIFICARE
300107214OtherRR MED B
CO01267855Medicaid
841522556009OtherRMHMO
2233054OtherAETNAM HMO