Individual
DALLIS. LOUIS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1531 OLDE MILL CREEK DR, SUFFOLK, VA 23434-2320
(504) 858-6857
Mailing address
1431 W NINE MILE RD UNIT 11304, PENSACOLA, FL 32534-5373
(850) 529-5542
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N/A
VA
Other
Enumeration date
06/30/2008
Last updated
04/07/2022
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