Individual
MATTHEW AYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6416 TENNYSON OAKS LN, ALEXANDRIA, LA 71301-2762
(318) 794-9856
Mailing address
914 CYPRESS ST, SULPHUR, LA 70663-5107
(318) 794-9856
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
312361
LA
Other
Enumeration date
05/09/2016
Last updated
07/06/2021
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