Organization
MEDCARE PHYSICIAN LLC
Active
Other names
Victoria L Allen DO
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA L ALLEN DO (PHYSICIAN)
(636) 225-2273
Entity
Organization
Contact information
Practice address
2117 BENTLEY PLAZA, FENTON, MO 63026
(636) 225-2273
(636) 225-2275
Mailing address
2117 BENTLEY PLAZA, FENTON, MO 63026
(636) 225-2273
(636) 225-2275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7P15
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105047
UHC
—
01
—
116943
BCBS
—
01
—
205957
HEALTHLINK
—
01
—
52993
GHP
—
01
—
5538116
AETNA
—
01
—
E96534
MERCY
—
Enumeration date
04/04/2007
Last updated
10/26/2010
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