| NPI | 1518515683 |
|---|---|
| Doing Business As | WILDE DESERT FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY VIRGIL WILDE Physician/Owner 520-255-5475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2024-09-30 |