Individual
DONALD H WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44215 MONTEREY AVE, PALM DESERT, CA 92260
(760) 346-6413
(760) 340-1968
Mailing address
PO BOX 1595, RANCHO MIRAGE, CA 92270
(760) 346-6413
(760) 340-1968
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G19254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G192540
—
CA
Enumeration date
08/31/2006
Last updated
07/08/2007
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