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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RALPH DAVID WADE, D.O.

Deactivated

DR. RALPH DAVID WADE, D.O. is a Family Medicine healthcare provider located in BOUNTIFUL, Utah. NPI 1447256953 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · BOUNTIFUL, UT

This NPI has been deactivated. The record was deactivated on March 21, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1447256953
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2005 (0.74794520547945 yrs)
Last Updated
Aug 24, 2009
Deactivated
Mar 21, 2006
License
180211-1204 (UT)

Practice Information

Address
557 W 2600 S
BOUNTIFUL, UT, 840107747
Browse UT providers · Browse ZIP 84010
Phone
8012989155
Fax
8012989156
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BOUNTIFUL, UT

Name Credential NPI
SCOTT ERICKSON 1780681775
JAMES H HART M.D. 1730168329
RAYMOND PAUL WARD MD-PHD 1043273386
MARK E CHRISTIAN MD 1184688533
DAVID GEORGE COPE MD 1285698241
ALLEN FREESTONE MD 1801850755
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.