# JONATHAN ALLEY, D.O., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801112347
- **Authorized official:** DR. JONATHAN E ALLEY D.O. (OWNER)
- **Authorized official phone:** (260) 665-5170

## Contact information

- **Practice address:** 424 WILLIAMS ST, ANGOLA, IN 46703-1556
- **Practice address phone:** (260) 665-5170
- **Practice address fax:** (260) 665-6979
- **Mailing address:** 424 WILLIAMS ST, ANGOLA, IN 46703-1556
- **Mailing address phone:** (260) 665-5170
- **Mailing address fax:** (260) 665-6979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 020014D6A | IN | Yes |

## Other

- **Enumeration date:** 04/08/2010
- **Last updated:** 04/09/2024