NPI | 1992834576 |
---|---|
Doing Business As | JOHN A. WADE, JR, MD, INC |
Entity Type | Organization |
Authorized Contact | JOHN A WADE President 304-675-1244 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WV WV10321) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WV WV10321) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2022-05-26 |