ILAN E WILDE

TOPPENISH, WA
NPI1265489801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  004580)
Enumeration Date2006-05-28
Last Update Date2014-08-06
Business Address
Mr. ILAN E WILDE PAC
518 W 1ST AVE
TOPPENISH, WA 98948-1564
Phone number: 509-865-5600
Mailing Address
Mr. ILAN E WILDE PAC
PO BOX 190
TOPPENISH, WA 98948-0190
Phone number: 509-856-2395
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