MR. Wade Bittle, P.A.-C

NPI #1154508976 in Shawnee, Oklahoma

Provider Information

NPI Number: 1154508976
Entity Type: Individual
Name: MR. Wade Bittle, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Jan 23, 2008
Last Updated: Jan 12, 2009

Practice Location

Address: 1102 W MACARTHUR ST
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1743
Phone: (405) 273-2270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Emergency Medicine	207P00000X

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