Individual
JOHN L WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
688 KINOOLE ST STE 103, HILO, HI 96720-3868
(808) 969-8010
(903) 663-7394
Mailing address
100 HOSPITAL DR, BENNINGTON, VT 05201-5004
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
FF0532689
VT
2085R0202X
Diagnostic Radiology Physician
Primary
MD20349
HI
2085R0202X
Diagnostic Radiology Physician
ME78473
FL
Other
Enumeration date
06/05/2006
Last updated
10/18/2019
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