Individual
DR. RALPH DAVID WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
557 W 2600 S, BOUNTIFUL, UT 84010-7747
(801) 298-9155
(801) 298-9156
Mailing address
557 W 2600 S, BOUNTIFUL, UT 84010-7747
(801) 298-9155
(801) 298-9156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
180211-1204
UT
Other
Enumeration date
06/21/2005
Last updated
08/24/2009
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