ALONZO WILDER, PAC

Physician Assistant

Active Individual
NPI: 1881635878

Practice Address

13960 FLORIDA BLVD
Livingston, LA 70754

Phone: (225) 686-0158

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes A10241 (LA)

Frequently Asked Questions

NPI 1881635878 is the National Provider Identifier for ALONZO WILDER, PAC, a Physician Assistant provider located in Livingston, LA. This NPI was enumerated on June 9, 2006.
ALONZO WILDER, PAC practices at 13960 FLORIDA BLVD, Livingston, LA 70754.

Quick Facts

NPI
1881635878
Type
Individual
Enumerated
Jun 9, 2006
Last Updated
Jan 27, 2009

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