Individual
JAMES R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2444
(573) 632-4800
Mailing address
1705 E BROADWAY, SUITE 100, COLUMBIA, MO 65201-5852
(573) 874-7800
(573) 443-3627
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2000163370
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130656
BCBS OF MO
—
01
—
172361
HEALTHLINK
—
05
—
205073802
—
MO
01
—
2401112
UNITED HEALTHCARE
—
01
—
27488017
BCBS OF KC
—
01
—
40294
GHP
—
01
—
5132415
AETNA
—
01
—
65201A003
TRICARE
—
01
—
H20243
MERCY HEALTH PLANS
—
Enumeration date
10/11/2005
Last updated
12/13/2021
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