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Individual

DR. WADE C FOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 885-4643
(541) 885-4649
Mailing address
810 LOMA LINDA DR, KLAMATH FALLS, OR 97601-2360
(541) 850-8209
(541) 885-4649

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO22880
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287455
OR
Enumeration date
08/21/2006
Last updated
05/20/2009
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