Wade Family Medicine, Inc.

NPI 1558597831 - Family Medicine - 207Q00000X

NPI Details
NPI 1558597831
Enumeration Date 06/01/2009
Last Updated 09/16/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RALPH D RALPH
Position PRESIDENT
Phone (801) 298-9155
Fax (801) 298-9156
Practice Location
557 W 2600 S
BOUNTIFUL UT, 84010-7747, US
Phone (801) 298-9155
Fax (801) 298-9156
Business Location
557 W 2600 S
BOUNTIFUL UT, 84010-7747, US
Phone (801) 298-9155
Fax (801) 298-9156
Toxanomy
Taxonomy Code 207Q00000X
License State Utah
License Number 180211-1204
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According to our database, Wade Family Medicine, Inc. NPI is 1558597831, taxonomy code is 207Q00000X and license number is 180211-1204, license state is located at Utah. Wade Family Medicine, Inc. physically located at 557 W 2600 S, Bountiful UT, 84010-7747. NPI Number 1033115704 has the healthcare provider type.

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1558597831 NPI number is provided on an as is basis without warranty of any kind. 1558597831 is maintained by the National Plan & Provider Enumeration System. The contents of Wade Family Medicine, Inc. are for informational purposes only.