NPI 1194487306

Jonathan Scott Wade, PAC

Practitioner Physician Assistant Apo, AP

Practice location

Address: Ach Brian D Allgood-Pyeongtaek Bldg 3030, Apo, AP 96297
Phone: (315) 737-7442
Mailing address: Psc 444 Box 953, Apo, AP 96297-0010

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1194487306
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Oct 2021
Record last updated: 5 Dec 2025

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.