PAUL WILDE, PA-C, SC.D.
Physician Assistant - Medical
Active
Individual
NPI: 1558361535
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 1002775 NCCPA (GA) |
Frequently Asked Questions
NPI 1558361535 is the National Provider Identifier for PAUL WILDE, PA-C, SC.D., a Physician Assistant - Medical provider located in Fort Leavenworth, KS. This NPI was enumerated on July 29, 2005.
PAUL WILDE, PA-C, SC.D. practices at 550 POPE AVE, Fort Leavenworth, KS 66027.
Quick Facts
- NPI
- 1558361535
- Type
- Individual
- Enumerated
- Jul 29, 2005
- Last Updated
- Jul 8, 2007
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