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Individual

DR. DAVID GLEN WADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3330 NW 56TH ST, SUITE 600, OKLAHOMA CITY, OK 73112-4479
(405) 947-8041
(405) 947-8043
Mailing address
PO BOX 269092, OKLAHOMA CITY, OK 73126-9092
(405) 947-8041
(405) 947-8043

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
120
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
120
OK

Other

Enumeration date
07/28/2005
Last updated
08/04/2015
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