DR. BRANDON WILDE, D.P.M.

Podiatrist - Foot & Ankle Surgery

Active Individual
NPI: 1407169865

Practice Address

1455 BENCH RD STE B
Pocatello, ID 83201

Phone: (208) 232-0006

Specialties

Specialty Code Primary License
Podiatrist - Foot & Ankle Surgery 213ES0103X Yes P-217 (ID)

Frequently Asked Questions

NPI 1407169865 is the National Provider Identifier for DR. BRANDON WILDE, D.P.M., a Podiatrist - Foot & Ankle Surgery provider located in Pocatello, ID. This NPI was enumerated on July 14, 2010.
DR. BRANDON WILDE, D.P.M. practices at 1455 BENCH RD STE B, Pocatello, ID 83201.

Quick Facts

NPI
1407169865
Type
Individual
Enumerated
Jul 14, 2010
Last Updated
Nov 14, 2017

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