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Individual

DR. SHAWNA NICHOLLE WADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2 STONEBRIDGE CIRCLE #227, LITTLE ROCK, AR 72223-4572
(501) 868-5456
Mailing address
2 STONEBRIDGE CIRCLE #227, LITTLE ROCK, AR 72223-4572
(501) 868-5456

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T2007-060
AR

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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