JACK WYLIE, MD
Orthopaedic Surgery
Active
Individual
NPI: 1043255052
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Orthopaedic Surgery | 207X00000X | Yes | 23100 (AZ) |
Frequently Asked Questions
NPI 1043255052 is the National Provider Identifier for JACK WYLIE, MD, a Orthopaedic Surgery provider located in Cottonwood, AZ. This NPI was enumerated on June 17, 2006.
JACK WYLIE, MD practices at 450 S WILLARD ST, SUITE 105, Cottonwood, AZ 86326.
Quick Facts
- NPI
- 1043255052
- Type
- Individual
- Enumerated
- Jun 17, 2006
- Last Updated
- Mar 16, 2017
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