Individual
WILLIAM K WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCP, COF, C.PED.
Contact information
Practice address
3004 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4370
(228) 875-3828
(228) 436-3580
Mailing address
3004 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4370
(228) 875-3828
(228) 436-3580
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C50109
MS
224L00000X
Pedorthist
C50109
MS
224P00000X
Prosthetist
Primary
C50109
MS
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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