OrganizationActive
Angel Allen Dermatology, LLC
NPI 1851610653 · Dermatology Physician · Jefferson City, MO
Provider details
- NPI number
- 1851610653
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angel Allen, Dermatologist(573) 659-1242
- License
- 114887 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3234 W Truman Blvd
First Floor
Jefferson City, MO 65109-5708
Phone: (573) 659-1242
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 106142
Jefferson City, MO 65110-6142
Other names (DBA / former)
- Doing business as
- Angel Allen Dermatology
Registry dates
- Enumerated
- 2010-05-19
- Last updated
- 2012-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.