Provider Demographics
NPI:1871593277
Name:STOKES, WILFORD PERRY JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILFORD
Middle Name:PERRY
Last Name:STOKES
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2309 E MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-4046
Mailing Address - Country:US
Mailing Address - Phone:337-364-3301
Mailing Address - Fax:337-364-9689
Practice Address - Street 1:2309 E MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-4046
Practice Address - Country:US
Practice Address - Phone:337-364-3301
Practice Address - Fax:337-364-9689
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2010-01-06
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Provider Licenses
StateLicense IDTaxonomies
LA015742207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1347493Medicaid
LA1347493Medicaid
LA55486Medicare PIN