Individual
DANIEL PETER ALYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
Mailing address
339 CONSORT DR, CREDENTIALING DEPARTMENT, BALLWIN, MO 63011-4439
(636) 386-9224
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036086822
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086822001
—
IL
Enumeration date
11/10/2006
Last updated
08/16/2010
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