Individual
DR. JOHN WHALEY ALLDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 BENDEL RD, LAFAYETTE, LA 70503-2903
(337) 232-2330
(337) 232-1310
Mailing address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
131339
NC
207Y00000X
Otolaryngology Physician
Primary
MD.026028
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054488
—
LA
Enumeration date
12/30/2006
Last updated
06/17/2024
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