NPI 1235235094

David G Wade DPM

Organisation Podiatrist Oklahoma City, OK

Practice location

Address: 5401 N Portland Ave STE 390, Oklahoma City, OK 73112-2082
Phone: (405) 943-6200
Mailing address: PO Box 1998, Oklahoma City, OK 73101-1998

Authorised official

Name: Shannon Rawson
Title: Manager
Phone: (405) 329-8545

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 120 (OK)

Other Podiatrist providers in Oklahoma →

Registry record

NPI: 1235235094
Entity type: Organization
NPI issued: 16 Sep 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.