GARY L WADE MD NPI 1205909793

NPI Information

GARY L WADE MD is a diagnostic radiology radiology in Yreka, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GARY L WADE MD NPI is 1205909793. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

444 BRUCE ST
YREKA, CA
ZIP 96097-450
Phone: (530) 842-7297
Fax: (530) 842-9054

The provider's authorized official is Gary L Wade .
The authorized official title is Owner and has the following contact phone number (530) 842-7297.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 2/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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