DR. Ralph David Wade, D.O.

NPI #1447256953 in Bountiful, Utah

Provider Information

NPI Number: 1447256953
Entity Type: Individual
Name: DR. Ralph David Wade, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 21, 2005
Last Updated: Aug 24, 2009

Practice Location

Address: 557 W 2600 S
City: Bountiful
State: Utah
ZIP Code: 84010-7747
Phone: (801) 298-9155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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