Provider Demographics
NPI:1760441786
Name:VOSE, WAYNE FRED (MD)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:FRED
Last Name:VOSE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6890 E SUNRISE DR
Mailing Address - Street 2:120-269
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-0738
Mailing Address - Country:US
Mailing Address - Phone:520-955-4197
Mailing Address - Fax:877-919-2538
Practice Address - Street 1:6890 E SUNRISE DR
Practice Address - Street 2:120-269
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-0738
Practice Address - Country:US
Practice Address - Phone:520-955-4197
Practice Address - Fax:877-919-2538
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ167992085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology