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Individual

JOHN P VALLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1926 S UNION ST, OPELOUSAS, LA 70570-5725
(337) 594-2025
Mailing address
120 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 769-7779

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14663R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1129143
LA
Enumeration date
02/17/2006
Last updated
01/13/2016
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