Russell Todd Allen, DO Valid NPI

Individual provider · Emergency Medicine Physician · Brookfield, MO

NPI

1194090357

Type

Individual (Type 1)

Primary specialty

Emergency Medicine Physician (Emergency Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207P00000X

License number

2013041285 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2012-03-20

Last updated

2023-04-30