Individual
JOHN H WALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 HOUMA BLVD, EMERGENCY ROOM, METAIRIE, LA 70006-2970
(504) 454-4196
Mailing address
PO BOX 62600, DEPT 1142, NEW ORLEANS, LA 70162-2600
(210) 614-0180
(210) 566-5698
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
10286R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982563
—
LA
01
—
H4048Z
BCBS
LA
Enumeration date
04/26/2006
Last updated
07/11/2014
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