Individual
JOHN FLETCHER WADE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 COOK ST STE 400, DENVER, CO 80206-5340
(720) 516-9421
(970) 516-9449
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4123
(970) 624-2416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0028472
CO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME64030
FL
207RP1001X
Pulmonary Disease Physician
Primary
DR.0028472
CO
207RP1001X
Pulmonary Disease Physician
ME64030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162592600
FEDERAL BLACK LUNG
—
01
—
18927Z
BCBS FLORIDA
FL
01
—
290012121
RAILROAD MEDICARE
—
05
—
372958300
—
FL
01
—
59146831
BCBS ALABAMA
AL
01
—
Z042
MED3000
FL
Enumeration date
07/26/2006
Last updated
04/24/2023
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