Individual
CARL B ALLDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 BENDEL RD, LAFAYETTE, LA 70503-2903
(337) 232-2330
(337) 232-1310
Mailing address
PO BOX 52068, LAFAYETTE, LA 70505-2068
(337) 233-7174
(337) 269-0981
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
011336
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170224
—
LA
Enumeration date
03/14/2006
Last updated
02/10/2012
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