DAVID G. WADE DPM PLLC; NPI #1053712737

Contact Information

DAVID G. WADE DPM PLLC

3330 NW 56TH ST
#600
OKLAHOMA CITY, OK 73112-4479

Phone: 405-947-8041
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for DAVID G. WADE DPM PLLC

NPI Number 1053712737

LBN Legal business name DAVID G. WADE DPM PLLC

Authorized official DAVID WADE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/12/2014

Last updated 09/12/2014 - About 12 years ago

Identifiers

License #

120

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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