Bryon Keith Wade Jr.
Bryon Keith Wade Jr. is a Peer Specialist in Pryor, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2025
Practice location Address checks out
109 N Fairland StPryor, OK 74361-4205
Phone: (918) 625-6128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (OK) |
|---|
Record details
| NPI number | 1104794973 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 24, 2025 |
| Last updated in NPPES | October 24, 2025 |
| Certification date | October 24, 2025 |
| Mailing address | 109 N Fairland St, Pryor, OK 74361-4205 |
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