Individual
RYAN SCOTT WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1050 E SOUTH TEMPLE, DEPARTMENT OF ANESTHESIA, SALT LAKE CITY, UT 84102-1507
(801) 350-4111
Mailing address
1210 SANTA ANITA DR, KAYSVILLE, UT 84037-6780
(801) 510-1411
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8209956-1204
UT
Other
Enumeration date
05/31/2008
Last updated
09/11/2015
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