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Individual
DR. ALAN JENNINGS CHEN
Active
Individual
DR. ALAN JENNINGS CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1K96
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202742003
—
MO
01
—
4784
BC/BS
MO
01
—
R1K96
STATE LICENCE
MO
Enumeration date
09/30/2005
Last updated
12/14/2010
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