Individual
DR. MARK ROBERT WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOPE DR, TUSTIN, CA 92782-0221
(714) 247-0300
Mailing address
1 HOPE DR, TUSTIN, CA 92782-0221
(714) 247-0300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G47936
CA
Other
Enumeration date
07/06/2007
Last updated
01/23/2015
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