Individual
MR. MASON ALEXANDER WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
251 N BAYOU ST, MOBILE, AL 36603-5827
(251) 690-8158
Mailing address
251 N BAYOU ST, MOBILE, AL 36603-5827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-151000
AL
Other
Enumeration date
02/14/2019
Last updated
03/25/2019
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