Individual
MR. WADE A TURNER
Active
Individual
MR. WADE A TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-24010
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136200E
—
KS
01
—
102600
BLUE SHIELD
KS
01
—
622301
FIRSTGUARD
KS
Enumeration date
09/07/2006
Last updated
03/28/2012
Update your record
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