Individual
MEGAN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
190 WAIANUENUE AVE, HILO, HI 96720
(808) 932-3000
Mailing address
9627 RED OAKES PL, HIGHLANDS RANCH, CO 80126-3586
(802) 349-7093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-1279
HI
Other
Enumeration date
06/05/2023
Last updated
01/23/2025
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