Individual
DR. ROBERT BRIAN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 3RD ST, MOUNDSVILLE, WV 26041-1606
(304) 845-3464
(304) 845-2208
Mailing address
3 WOOD DUCK MDW, GLEN DALE, WV 26038-1234
(304) 845-3464
(304) 845-2208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19185
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055148000
—
WV
Enumeration date
09/21/2005
Last updated
04/18/2022
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