Organization
ELLIOT WADE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT L WADE MD (PRESIDENT)
(702) 450-1717
Entity
Organization
Contact information
Practice address
6970 W PATRICK LANE, #140, LAS VEGAS, NV 89113-0270
(702) 450-1717
(702) 947-6740
Mailing address
6970 W PATRICK LN STE 140, LAS VEGAS, NV 89113-0270
(702) 450-1717
(702) 974-6740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12770
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487810321
—
NV
Enumeration date
10/22/2009
Last updated
10/22/2009
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