IndividualActive
Allen Northern, DO
NPI 1609912443 · Family Medicine Physician · Rolla, MO
Provider details
- NPI number
- 1609912443
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- R5474 (MO)
Practice location
1601 N Bishop Ave
Rolla, MO 65401-2249
Phone: (573) 364-8100
Fax: (573) 341-9475
Mailing address
Po Box 2580
Springfield, MO 65801-2580
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2008-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.