Individual
STEPHANIE SUZANNE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 N CENTRAL AVE, STE1600, PHOENIX, AZ 85004-4527
(602) 744-4765
(602) 744-4799
Mailing address
1850N CENTRAL AVE 1600, PHOENIX, AZ 85004-4633
(602) 262-8900
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32619
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
874835
—
AZ
01
—
P00141152
MEDICARE RAILROAD
—
Enumeration date
02/28/2006
Last updated
08/07/2015
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