Individual
KEVIN FRANCIS WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 SW 4TH AVE STE 105, ONTARIO, OR 97914-2638
(541) 889-2668
(541) 889-2997
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD196078
OR
Other
Enumeration date
01/03/2007
Last updated
05/01/2024
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