Individual
MS. CHRISTINE SHAWN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2195 CHEAT RD, SUITE 2, MORGANTOWN, WV 26508-4451
(304) 594-0456
Mailing address
2195 CHEAT RD, SUITE 2, MORGANTOWN, WV 26508-4451
(304) 594-0456
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
00904
WV
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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