Individual
DR. WADE W WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1000
Mailing address
FILE 50421, LOS ANGELES, CA 90074-0001
(800) 793-3529
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00030906
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184576
WA L & I
—
05
—
8148918
—
WA
01
—
8938312
WA CRIME VICTIM
—
01
—
F60864
GROUP HEALTH
—
01
—
WE7882
REGENCE BS
—
Enumeration date
05/26/2006
Last updated
12/04/2007
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