KENNETH ALAN WADE

LOGAN, UT
NPI1699826149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: UT  1015921206)
Enumeration Date2007-01-12
Last Update Date2016-11-29
Business Address
MR. KENNETH ALAN WADE P.A
1325 N 600 E SUITE 102
LOGAN, UT 84341-6738
Phone number: 435-753-9999
Mailing Address
MR. KENNETH ALAN WADE P.A
1325 N 600 E SUITE 102
LOGAN, UT 84341-6738
Phone number: 435-753-9999
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