William Wade, BOCP, COF, C.PED

NPI 1902393614 · on the registry since 2018

Practice

Address: 3004 Bienville Blvd
Ocean Springs, MS 39564
Phone: (228) 875-3828
Fax: (228) 436-3580
Organisation at this address: One Source Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Prosthetist
224P00000X
Also registered as: Orthotist
Pedorthist
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-04-18

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 Mississippi