Individual
DR. ERIC P WADLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
436 VIST AVE, PAGE, AZ 86040-0002
(928) 645-2505
Mailing address
PO BOX 2, PAGE, AZ 86040-0002
(928) 645-2505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2639
AZ
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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