Individual
DR. ALAN JENNINGS CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1516 W BUSINESS HWY 60, DEXTER, MO 63841
(573) 624-8051
(573) 624-6669
Mailing address
PO BOX 39, DEXTER, MO 63841-0039
(573) 624-8051
(573) 624-6669
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1K96
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202742003
—
MO
01
—
4784
BC/BS
MO
01
—
R1K96
STATE LICENCE
MO
Enumeration date
09/30/2005
Last updated
12/14/2010
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