JOSHUA KEITH WILDING

MERIDIAN, ID
NPI1538565270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1744)
Additional Taxonomies363A00000X Physician Assistant
(Licence: FL  PA9108385)
Enumeration Date2014-11-07
Last Update Date2021-07-20
Business Address
Mr. JOSHUA KEITH WILDING PA-C
1623 S WELLS AVE
MERIDIAN, ID 83642-5040
Phone number: 208-498-1050
Mailing Address
Mr. JOSHUA KEITH WILDING PA-C
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500