Individual
JERRY H ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
851 E 5TH ST, STE 300, WASHINGTON, MO 63090-3130
(636) 390-8555
(636) 390-9444
Mailing address
851 E 5TH ST, STE 300, WASHINGTON, MO 63090-3130
(636) 390-8555
(636) 390-9444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD34565
MO
Other
Enumeration date
06/23/2005
Last updated
10/14/2011
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