Organization
ANGEL ALLEN DERMATOLOGY, LLC
Active
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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