Wade Pediatrics PC

NPI #1962475558 in Muskogee, Oklahoma

Provider Information

NPI Number: 1962475558
Entity Type: Organization
Organization Name: Wade Pediatrics PC
Primary Specialty: Pediatrics
Enumeration Date: Feb 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3505 W BROADWAY
City: Muskogee
State: Oklahoma
ZIP Code: 74401
Phone: (918) 683-8442

Authorized Official

Name: KEVIN F WADE
Title: OWNER
Phone: (918) 683-8442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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