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1073194114
HERSCHEL W. WILDE
SALT LAKE CITY, UT
NPI
1073194114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT 12985877-1205)
Enumeration Date
2021-04-20
Last Update Date
2022-08-16
Business Address
HERSCHEL W. WILDE MD
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-585-0895
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Mailing Address
HERSCHEL W. WILDE MD
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-585-0895
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