Individual
DR. MATTHEW C ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
415 MARLBORO ST, KEENE, NH 03431-4310
(603) 357-4488
Mailing address
4601 VENARDE DR, SAINT LOUIS, MO 63128-2417
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2020012247
MO
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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