Individual
DR. VICTORIA L ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2117 BENTLEY PLZ, FENTON, MO 63026-2124
(636) 225-2273
(636) 225-2275
Mailing address
1651 IDLE ROCK FARM RD, WILDWOOD, MO 63011-1901
(314) 518-2736
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
R7P15
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105047
UNITED HEALTHCARE
MO
01
—
116943
BLUE CROSS BLUE SHIELD
MO
01
—
205957
HEALTHLINK
MO
01
—
431828874
GALAXY HEALTH NETWORK
MO
01
—
5538116
AETNA
MO
01
—
E96534
MERCY HEALTH PLANS
MO
Enumeration date
11/21/2005
Last updated
10/26/2010
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