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Organization

ANGEL ALLEN DERMATOLOGY, LLC

Active
Other names
Angel Allen Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGEL L. ALLEN M.D. (DERMATOLOGIST)
(573) 659-1242
Entity
Organization

Contact information

Practice address
3234 W TRUMAN BLVD, FIRST FLOOR, JEFFERSON CITY, MO 65109-5708
(573) 659-1242
Mailing address
PO BOX 106142, JEFFERSON CITY, MO 65110-6142
(573) 659-1242

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
114887
MO

Other

Enumeration date
05/19/2010
Last updated
09/24/2012
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