Dr. Brent T Allen, MD
in Saint Louis, MO. Individual provider (NPI-1).
NPI number1770513319
StatusActive
Last updated in NPPESApr 15, 2025
Details
- NPI
- 1770513319
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brent T Allen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2006
- Certification date
- Oct 29, 2021
- Last updated
- Apr 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | R2B05 | MO | Yes |
Practice location
555 N New Ballas RdDiv Surg Vascular, Ste 265
Saint Louis, MO 63141-6825
Phone 314-991-4644 · Fax 866-342-0133
Mailing address
Po Box 7412011Chicago, IL 60674-2011
Phone 314-991-4644 · Fax 866-342-0133
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