NPI 1356307458

Mark Alan Wade, MD

Practitioner Sports Medicine (Orthopaedic Surgery) Physician Fairbanks, AK

Practice location

Address: 2310 Peger Rd STE 105, Fairbanks, AK 99709-5315
Phone: (907) 479-2663
Fax: (907) 479-2691

Registered specialties (2)

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 4018 (AK)

Other Orthopaedic Surgery providers in Alaska →

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 4018 (AK)

Registry record

NPI: 1356307458
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2006
Record last updated: 18 Apr 2013

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.