Organization
DAVID G. WADE DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WADE MD (OWNER)
(405) 488-7677
Entity
Organization
Contact information
Practice address
3330 NW 56TH ST, #600, OKLAHOMA CITY, OK 73112-4479
(405) 947-8041
Mailing address
PO BOX 269092, OKLAHOMA CITY, OK 73126-9092
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
120
OK
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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