Mariah Allen Valid NPI
Individual provider · Pediatrics Physician · Jefferson City, MO
- NPI
- 1821675687
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- 2024016531 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-03-26
- Last updated
- 2025-03-20
Practice location
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
(573) 556-7704