Individual
JAMES G MAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601
(337) 494-2121
(337) 494-2360
Mailing address
PO BOX 3066, LAKE CHARLES, LA 70602
(337) 494-2125
(337) 494-2360
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
11247R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1661635
—
LA
Enumeration date
03/09/2007
Last updated
07/08/2007
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