# WADE FAMILY MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558597831
- **Authorized official:** DR. RALPH D WADE D.O. (PRESIDENT)
- **Authorized official phone:** (801) 298-9155

## Contact information

- **Practice address:** 557 W 2600 S, BOUNTIFUL, UT 84010-7747
- **Practice address phone:** (801) 298-9155
- **Practice address fax:** (801) 298-9156
- **Mailing address:** 557 W 2600 S, BOUNTIFUL, UT 84010-7747
- **Mailing address phone:** (801) 298-9155
- **Mailing address fax:** (801) 298-9156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 180211-1204 | UT | Yes |

## Other

- **Enumeration date:** 06/01/2009
- **Last updated:** 09/16/2009