Individual
DR. ELEANOR ELIZABETH WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
US NAVAL HOSPITAL GUAM, FARENHOLT AVE, BLDG 50, AGANA HEIGHTS, GU 96910
(919) 623-5951
Mailing address
US NAVAL HOSPITAL GUAM, PSC 455 BOX 208, FPO, AP 96540
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101273074
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
0101273074
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2020
Last updated
10/28/2024
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