Individual provider · Type 1 NPI

Wallace C. Wade, DC

Chiropractor · Tampa, FL

NPI number 1306855663 Active

Practice location

12084 Anderson Rd
Tampa, FL 33625-5682

Fax (813) 265-3904

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH4075 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1306855663

Wallace C. Wade, DC's National Provider Identifier is 1306855663, issued on Aug 5, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tampa, FL. The record was last updated on Jul 8, 2007.