Individual
CHRISTOPHER LEE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10012 KENNERLY RD, SUITE 300, SAINT LOUIS, MO 63128-2197
(314) 842-0602
(314) 842-4372
Mailing address
10012 KENNERLY RD, SUITE 300, SAINT LOUIS, MO 63128-2197
(314) 842-0602
(314) 842-4372
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2013024996
MO
207RI0011X
Interventional Cardiology Physician
Primary
2013024996
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528271434
—
MO
01
—
2013024996
MISSOURI MEDICAL LICENSE
MO
Enumeration date
05/07/2007
Last updated
05/11/2016
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