ALAN P K WILD

SAINT LOUIS, MO
NPI1871582692
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: MO  R9D17)
Enumeration Date2005-10-14
Last Update Date2009-11-20
Business Address
-- ALAN P K WILD MD
3660 VISTA AVE STE. 312
SAINT LOUIS, MO 63110
Phone number: 314-977-5110
Mailing Address
-- ALAN P K WILD MD
3635 VISTA AVE P.O. BOX 15250
SAINT LOUIS, MO 63110-2539
Phone number: 314-577-8884
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