Individual
PHILIP M. WADE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2451 FILLINGIM ST, MASTIN 617, MOBILE, AL 36617-2238
(251) 470-5842
(251) 470-5809
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5842
(251) 470-5809
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
9092
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04172511
—
MS
01
—
36-10278
UNITED HEALTH CARE
AL
01
—
51524610
BLUE CROSS
—
Enumeration date
06/07/2006
Last updated
07/08/2007
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