Individual
DR. WADE EDWARD SPROVIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2744 GLENDALE RD, GALAX, VA 24333-5350
(276) 236-3833
Mailing address
2744 GLENDALE RD, GALAX, VA 24333-5350
(276) 236-3833
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000891
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042901
ANTHEM ID
VA
Enumeration date
01/24/2007
Last updated
12/10/2014
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