Miranda Wade, R-PA

NPI #1992129878 in Utica, New York

Provider Information

NPI Number: 1992129878
Entity Type: Individual
Name: Miranda Wade, R-PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: R-PA
Enumeration Date: Feb 12, 2014
Last Updated: Feb 12, 2014

Practice Location

Address: 2211 GENESEE ST
City: Utica
State: New York
ZIP Code: 13501-5930
Phone: (315) 733-7598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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