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Individual

WADE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
211 E LOGAN ST, STE 201, CALDWELL, ID 83605-4882
(208) 454-0567
Mailing address
211 E LOGAN ST, STE 201, CALDWELL, ID 83605-4882
(208) 454-0567

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
TL-3792
ID

Other

Enumeration date
09/20/2006
Last updated
08/08/2007
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