Individual
DR. JAD JOSEPH WAKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1180 COLLEGE DRIVE, ROCK SPRINGS, WY 82901
(307) 382-2234
(307) 382-2302
Mailing address
1180 COLLEGE DRIVE, ROCK SPRINGS, WY 82901
(307) 382-2234
(307) 382-2302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8962A
WY
207RH0003X
Hematology & Oncology Physician
N3381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133851000
—
WY
Enumeration date
07/02/2008
Last updated
07/21/2022
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