Individual
DR. CLARISSA JARA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 CLARKSON RD, ELLISVILLE, MO 63011-2278
(636) 230-5050
(636) 230-5057
Mailing address
225 CLARKSON RD, ELLISVILLE, MO 63011-2278
(636) 230-5050
(636) 230-5057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
067878
GA
207Q00000X
Family Medicine Physician
Primary
2013027611
MO
207Q00000X
Family Medicine Physician
41675
KY
Other
Enumeration date
05/04/2007
Last updated
02/11/2015
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