Individual
ARDIS K ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5551 WINGHAVEN BLVD, SUITE 240, O'FALLON, MO 63368-3605
(636) 561-5561
(636) 561-5557
Mailing address
5551 WINGHAVEN BLVD, SUITE 240, O FALLON, MO 63368-3617
(636) 561-5561
(636) 561-5557
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R3J00
MO
Other
Enumeration date
05/24/2006
Last updated
04/22/2009
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