JOHN WILEY STAFFORD

LAFAYETTE, LA
NPI1831292358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: LA  013845)
Enumeration Date2006-09-07
Last Update Date2007-07-08
Business Address
JOHN WILEY STAFFORD MD
207 WESTMARK BLVD
LAFAYETTE, LA 70506-7365
Phone number: 337-981-6811
Mailing Address
JOHN WILEY STAFFORD MD
207 WESTMARK BLVD
LAFAYETTE, LA 70506-7365
Phone number: 337-981-6811
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