Individual
DEE A SPADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3243 E MURDOCK ST, SUITE 201, WICHITA, KS 67208-3052
(316) 500-8900
(316) 500-8950
Mailing address
3243 E MURDOCK ST, SUITE 201, WICHITA, KS 67208-3052
(316) 500-8900
(316) 500-8950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27612
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054523
BCBS
KS
01
—
100258
HPK
KS
05
—
100324690A
—
KS
01
—
11542
PHS
KS
01
—
16995
COVENTRY
KS
Enumeration date
06/18/2006
Last updated
08/08/2014
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