Individual
DR. JAMES MICHAEL CONERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3311 PRESCOTT RD, SUITE 201, ALEXANDRIA, LA 71301-3900
(318) 442-6767
(318) 441-1359
Mailing address
3311 PRESCOTT RD, SUITE 201, ALEXANDRIA, LA 71301-3900
(318) 442-6767
(318) 441-1359
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
08316R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020054415
ALL
—
01
—
1903167
BLUE CROSS
—
05
—
1903167
—
LA
01
—
331030935A004
TRICARE
—
01
—
331030935CO
OCHSNER
—
01
—
5N052CD82
ALL
—
Enumeration date
07/19/2005
Last updated
09/29/2011
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