Individual
JOHN WADE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31700 TEMECULA PKWY, TEMECULA, CA 92592-5896
(951) 331-2200
Mailing address
41762 AVENIDA CONCHITA, MURRIETA, CA 92562-8620
(951) 816-5732
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C180855
CA
207Q00000X
Family Medicine Physician
11313
NV
207Q00000X
Family Medicine Physician
5553839-1205
UT
Other
Enumeration date
01/12/2006
Last updated
01/25/2023
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