Provider Demographics
NPI:1316074313
Name:ALLRED, DARIN W (MD)
Entity type:Individual
Prefix:MR
First Name:DARIN
Middle Name:W
Last Name:ALLRED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13543 S AINTREE AVE
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-7721
Mailing Address - Country:US
Mailing Address - Phone:720-933-5017
Mailing Address - Fax:866-448-3220
Practice Address - Street 1:4401 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-3507
Practice Address - Country:US
Practice Address - Phone:307-448-3220
Practice Address - Fax:307-222-3851
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42728207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO92235263Medicaid
015556OtherKAISER-COMMERCIAL NUMBER
COH88174Medicare UPIN
015556OtherKAISER-COMMERCIAL NUMBER