Gary L Wade
RENAISSANCE IMAGING MEDICAL ASSOCIATES INC


Address: 484 Snider Dr, Walla Walla, WA 99362-8075
Phone: 8889650083

Gary L Wade (NPI# 1306832571, PAC ID# 7012918352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1306832571
PAC ID by PECOS 7012918352
Professional Enrollment ID I20101122000086
Full Name Gary L Wade
Organization Legal Name RENAISSANCE IMAGING MEDICAL ASSOCIATES INC
Address 484 Snider Dr
Walla Walla
WA 99362-8075
Phone Number 8889650083
Gender M
Credential MD
Medical School LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1979
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 7315841756
Number of Group Practice Members 115
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050135 SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD
050116 NORTHRIDGE HOSPITAL MEDICAL CENTER
050056 ANTELOPE VALLEY HOSPITAL
051333 RIDGECREST REGIONAL HOSPITAL
050063 HOLLYWOOD PRESBYTERIAN MEDICAL CENTER

Other Locations

Address Phone Organization
484 Snider Dr, Walla Walla, WA 99362-8075 8889650083 RENAISSANCE IMAGING MEDICAL ASSOCIATES INC

Organization Information

Organization Legal Name RENAISSANCE IMAGING MEDICAL ASSOCIATES INC
Physicians 108

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Office Location

Street Address 484 SNIDER DR
City WALLA WALLA
State WA
Zip 99362-8075

Physicians in the same zip code

Name Specialty Organization Address
Cynthia A Wallace Clinical Social Worker 19 E Birch, Suite 103, Walla Walla, WA 99362
Susan L Stough Clinical Social Worker 409 E Sumach St, Suite 6, Walla Walla, WA 99362-1202
Natasha Anne Rustad Clinical Social Worker 409 E Sumach St, Rustad Counseling LLC, Walla Walla, WA 99362-1202
Pavel S Blagov Clinical Psychologist 409 E Sumach St, Suite 3, Walla Walla, WA 99362-1202
Robert L Stough Jr. Psychologist, Clinical 409 E Sumach St, Walla Walla, WA 99362-1228
Chance Higginbotham Chiropractic 2200 Melrose St, 7a, Walla Walla, WA 99362-1579
Alayna M Brinton Clinical Social Worker 2330 Eastgate St, Suite 140, Walla Walla, WA 99362-1589
Sean Thomas Duffy Family Medicine Yakima Valley Farm Workers Clinic 1120 W Rose St, Walla Walla, WA 99362-1662
Bradley K Nielson Optometry 208 N 2nd Ave, Walla Walla, WA 99362-1806
Eric John Wiessner Optometry 614 E Alder St, Suite 1, Walla Walla, WA 99362-2073
Find all physicians in zip 99362

Competitor

Search similar physicians

City WALLA WALLA
Zip Code 99362
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty WALLA WALLA + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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