BRUCE WILEY

LAKE CHARLES, LA
NPI1790823185
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA  10780R)
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
Dr. BRUCE WILEY M.D.
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-8022
Mailing Address
Dr. BRUCE WILEY M.D.
278 HAMPTON CT
LAKE CHARLES, LA 70605-6586
Phone number:
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