Dustin Wade

NPI #1013323336 in Shawnee, Oklahoma

Provider Information

NPI Number
1013323336
Entity Type
Individual
Name
Dustin Wade
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jul 8, 2014
Last Updated
Jun 13, 2023

Practice Location

Address
2508 N HARRISON ST
ZIP Code
74804-3131
Phone
(405) 585-2030

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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