DR. STACY CONVILLE, MD

Family Medicine

Active Individual
NPI: 1497702880

Practice Address

1809 NORTHPOINT LANE
SUITE 102
Ruston, LA 71270

Phone: (318) 251-8232

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 026106 (LA)

Frequently Asked Questions

NPI 1497702880 is the National Provider Identifier for DR. STACY CONVILLE, MD, a Family Medicine provider located in Ruston, LA. This NPI was enumerated on May 30, 2006.
DR. STACY CONVILLE, MD practices at 1809 NORTHPOINT LANE, SUITE 102, Ruston, LA 71270.

Quick Facts

NPI
1497702880
Type
Individual
Enumerated
May 30, 2006
Last Updated
Mar 17, 2014

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