BRIAN A WADE

GRANTS PASS, OR
NPI1114641370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11015250)
Enumeration Date2022-09-30
Last Update Date2022-09-30
Business Address
BRIAN A WADE
500 SW RAMSEY AVE
GRANTS PASS, OR 97527-5554
Phone number: 541-472-7430
Mailing Address
BRIAN A WADE
3480 EXETER CT
BELLE ISLE, FL 32812-6029
Phone number: 407-491-5254