Individual
VALINDA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3933 S BROADWAY, SAINT LOUIS, MO 63118-4601
(314) 865-7000
(314) 865-7073
Mailing address
4224 CORRALES DR, FLORISSANT, MO 63034-3489
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
117596
MO
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
336078903
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992898795
—
MO
Enumeration date
10/02/2006
Last updated
09/12/2016
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