Ardis K Allison, DO Valid NPI

Individual provider · Pediatrics Physician · O'Fallon, MO

NPI

1487609616

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

R3J00 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2006-05-24

Last updated

2009-04-22