Individual
GEORGE JUDE BARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 AMBASSADOR CAFFERY PKWY, SUITE 201, LAFAYETTE, LA 70508-6926
(337) 988-2345
Mailing address
PO BOX 81885, LAFAYETTE, LA 70598-1885
(337) 988-2345
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21078
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1662917
—
LA
Enumeration date
10/05/2005
Last updated
02/13/2008
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