Healthcare Provider Details

I. General information

NPI: 1487383329
Provider Name (Legal Business Name): ALEXANDER DAY PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2022
Last Update Date: 06/07/2022
Certification Date: 06/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 W MARTIAL AVE
LAFAYETTE LA
70508-6583
US

IV. Provider business mailing address

PO BOX 82510
LAFAYETTE LA
70598-2510
US

V. Phone/Fax

Practice location:
  • Phone: 337-234-5344
  • Fax: 337-234-5311
Mailing address:
  • Phone: 337-234-5344
  • Fax: 337-234-5311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: