Individual
JOANN ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4864 JACKSON ST, DEPARTMENT OF SURGERY, MONROE, LA 71202-6400
(318) 330-7655
(318) 330-7649
Mailing address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7655
(318) 330-7649
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
017799
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1907928
—
LA
Enumeration date
08/17/2006
Last updated
01/31/2014
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