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Individual

DR. JAMES SIDNEY WADE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 289-2000
Mailing address
118 SHANNON RD, LAFAYETTE, LA 70503-3511
(337) 981-5372
(337) 989-5098

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
012776
LA

Other

Enumeration date
03/29/2006
Last updated
06/13/2011
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