Search › Alaska › 103TC0700X
Chadwick Shade, PHD
NPI 1255658860 · on the registry since 2010
Practice
- Address
- 5955 Zeamer Avenue
3rd Mdg
Elmendorf Afb, AK 99506 - Phone
- (907) 580-2181
- Organisation at this address
- 673d Medgrp-Jber Elmndrf-Rich
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 95
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-04-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska