George A. Wade MD

NPI 1063418903 - Orthopaedic Surgery - 207XX0005X

NPI Details
NPI 1063418903
Gender Male
Enumeration Date 06/24/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1188 UNIVERSITY DR
BOISE ID, 83706-3009, US
Phone (208) 336-8250
Fax (208) 345-9514
Business Location
1188 UNIVERSITY DR
BOISE ID, 83706-3009, US
Phone (208) 336-8250
Fax (208) 345-9514
Toxanomy
Taxonomy Code 207XX0005X
License State Idaho
License Number M3813
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According to our database, Dr. George A. Wade MD NPI is 1063418903, taxonomy code is 207XX0005X and license number is M3813, license state is located at Idaho. George A. Wade MD physically located at 1188 University Dr, Boise ID, 83706-3009. NPI Number George A. Wade MD has the Individual type.

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1063418903 NPI number is provided on an as is basis without warranty of any kind. 1063418903 is maintained by the National Plan & Provider Enumeration System. The contents of George A. Wade MD are for informational purposes only.