Organization
DAVID G WADE DPM
Active
Other names
PODIATRIC ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON RAWSON (MANAGER)
(405) 329-8545
Entity
Organization
Contact information
Practice address
5401 N PORTLAND AVE STE 390, OKLAHOMA CITY, OK 73112-2082
(405) 943-6200
Mailing address
PO BOX 1998, OKLAHOMA CITY, OK 73101-1998
(405) 943-6200
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
120
OK
Other
Enumeration date
09/16/2006
Last updated
08/22/2020
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