Individual
JAMES SCOTT WADE
Active
Individual
JAMES SCOTT WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101042166
VA
207RI0200X
Infectious Disease Physician
0101042166
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110056631
MEDICARE RAILROAD CARRIER
VA
05
—
6035604
—
VA
Enumeration date
11/29/2005
Last updated
12/30/2014
Update your record
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