Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 5526449-1204 | VI |
NPI | 1134367410 |
---|---|
Provider Name | David Kim Allred |
First Address | Florence, CO 81226 |
Second Address | Florence, CO 81226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2009 |
Last Update Date | 26/01/2009 |