Individual
WADE RIX SAMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11020 OPTUM CIR, EDEN PRAIRIE, MN 55344-2503
(855) 823-9355
Mailing address
PO BOX 356, MINNEAPOLIS, MN 55440-0356
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA60804937
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HA60804937
HEARING INSTRUMENT SPECIALIST
WA
Enumeration date
11/07/2019
Last updated
11/07/2019
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