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Individual

ALLISON HAUNGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12255 DE PAUL DR STE 600, BRIDGETON, MO 63044-2515
(314) 209-5100
Mailing address
5554 WATERMAN BLVD APT 2E, SAINT LOUIS, MO 63112-1836

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036148752
IL
207Q00000X
Family Medicine Physician
125.069068
IL

Other

Enumeration date
03/24/2016
Last updated
08/16/2021
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