DR. Gary Lee Wade, O.D.

NPI #1245215524 in Moore, Oklahoma

Provider Information

NPI Number
1245215524
Entity Type
Individual
Name
DR. Gary Lee Wade, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Dec 9, 2005
Last Updated
Aug 30, 2012

Practice Location

Address
306 SE 4TH ST
City
Moore
ZIP Code
73160-6707
Phone
(405) 794-2020

Specialties & Taxonomy Codes

Specialty
Optometrist

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