BRANDON D WILDE

POCATELLO, ID
NPI1407169865
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: ID  P-217)
Enumeration Date2010-07-14
Last Update Date2017-11-14
Business Address
Dr. BRANDON D WILDE D.P.M.
1455 BENCH RD STE B
POCATELLO, ID 83201-5084
Phone number: 208-232-0006
Mailing Address
Dr. BRANDON D WILDE D.P.M.
1455 BENCH RD SUITE B
POCATELLO, ID 83201-5083
Phone number: 208-232-0006
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