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1861583544
MARCUS JEROME WADE
JEFFERSON CITY, MO
NPI
1861583544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: MO 2007025065)
Enumeration Date
2006-09-27
Last Update Date
2023-09-06
Business Address
DR. MARCUS JEROME WADE MD
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-556-7755
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Mailing Address
DR. MARCUS JEROME WADE MD
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-556-7755
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