Organization
ITS ALL ABOUT THE PATIENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E WADE (SOLE MEMBER)
(480) 907-7707
Entity
Organization
Contact information
Practice address
1284 E MADDISON ST, SAN TAN VALLEY, AZ 85140-5765
(480) 907-7707
(480) 907-7097
Mailing address
PO BOX 11773, CHANDLER, AZ 85248-0013
(480) 907-7707
(480) 907-7097
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
06/04/2014
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