Clint Thomas Wade, M.D.

Anesthesiology Physician · Dothan, AL

Individual Active NPI

NPI number 1861782823

Practice location

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone
(334) 793-5105

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NPI record

NPI
1861782823
Entity type
Individual (Type 1)
Enumeration date
April 12, 2011
Last updated
June 17, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiology Physician Primary 207L00000X 32184 AL
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

1118 Ross Clark Cir
Suite 700
Dothan, AL 36301-3001
Phone
(334) 793-5105

About Dr. Wade

Clint Thomas Wade, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiology Physician (code 207L00000X). The practice location is 1108 Ross Clark Cir, Dothan, AL 36301-3022. The NPI number 1861782823 was assigned on April 12, 2011 and the record was last updated on June 17, 2015.

Dr. Wade lists a license in the registry: #32184 (AL) for Anesthesiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clint Thomas Wade, M.D.?

The NPI number is 1861782823.

What is the phone number of Dr. Wade?

The phone number listed for the practice location is (334) 793-5105.

Where is Dr. Wade located?

1108 Ross Clark Cir, Dothan, AL 36301-3022.

What is the taxonomy code for Dr. Wade?

The primary taxonomy code is 207L00000X – Anesthesiology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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