| Doctor Name: | MR. WADE ALLEN HOLDEN |
| NPI Number: | 1538463252 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A. |
| License Number: | 646 |
| Business Practice Address: | 809 Sunset Blvd Conrad, MT - 594251799 |
| Business Phone Number: | 4062713231 |
| Business Fax Number: | 4062713576 |
| Mailing Address: | Po Box 6369, HELENA |
| State: | MT |
| Postal Code: | 596046369 |
| Phone Number: | 4064472823 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2011 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 646 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |