Individual
DR. ALAN RAY PEREGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 HIGHWAY 951, JACKSON, LA 70748
(225) 634-0341
(225) 634-4464
Mailing address
520 PLANTATION RIDGE LN, BATON ROUGE, LA 70810-5051
(225) 767-8332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
020903
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112399 00
—
MD
05
—
1918750
—
LA
Enumeration date
03/28/2007
Last updated
02/17/2011
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