Individual provider · Type 1 NPI

Marcus Jerome Wade, MD

Diagnostic Radiology Physician · Jefferson City, MO

NPI number 1861583544 Active

Practice location

1241 W Stadium Blvd
Jefferson City, MO 65109-6023

Fax (573) 761-3599

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X2007025065 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1861583544

Marcus Jerome Wade, MD's National Provider Identifier is 1861583544, issued on Sep 27, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jefferson City, MO. The record was last updated on Sep 6, 2023.