Individual
DR. WADE G ALLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1608 N STOCKTON HILL RD, SUITE 104, KINGMAN, AZ 86401-4141
(928) 718-0180
Mailing address
1608 N STOCKTON HILL RD, SUITE 104, KINGMAN, AZ 86401-4141
(928) 718-0180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42970
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074685000
—
MN
Enumeration date
08/02/2006
Last updated
02/18/2016
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