Organization
STOVER WADE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY S WADE D.O. (OWNER)
(970) 856-4111
Entity
Organization
Contact information
Practice address
836 S TOWNSEND AVE STE C, MONTROSE, CO 81401-4360
(970) 249-2118
(970) 249-2187
Mailing address
836 S TOWNSEND AVE STE C, MONTROSE, CO 81401-4360
(970) 249-2118
(970) 249-2187
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32008
CO
261QU0200X
Urgent Care Clinic/Center
Primary
32008
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98901257
—
CO
Enumeration date
03/10/2010
Last updated
03/10/2010
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