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NPI Code Detail

MEDICARE: GEOFFREY A WADE MD

MEDICARE: GEOFFREY A WADE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMD230543OR
2207P00000XEmergency Medicine Physician26883NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962065466
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEOFFREY A WADE MD
Provider Business Mailing Address
First Line : 3100 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0436
Country : US
Telephone Number : 702-962-5000
Fax Number :
Provider Business Practice Location Address
First Line : 3100 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0436
Country : US
Telephone Number : 702-962-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2019
Last Update Date : 06/04/2026

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Directions to “ GEOFFREY A WADE MD” Practice Location

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