Individual
WADE TAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
NMRTC SAN DIEGO 34800 BOB WILSON DR, SAN DIEGO, CA 92134-2111
(619) 532-6400
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
0102208766
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/09/2023
Last updated
03/04/2025
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