Individual
MR. WADE ALLEN HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3909 CREEKSIDE LOOP STE 115, YAKIMA, WA 98902-4880
(509) 574-6095
(509) 574-6098
Mailing address
3800 SUMMITVIEW AVE, YAKIMA, WA 98902-2715
(509) 248-7849
(509) 248-8291
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
646
MT
363AM0700X
Medical Physician Assistant
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
646
STATE LICENSE
MT
Enumeration date
01/10/2011
Last updated
02/19/2019
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