Chad Wilde Md, a Medical Corporation

NPI #1124182001 in Simi Valley, California

Provider Information

NPI Number
1124182001
Entity Type
Organization
Organization Name
Chad Wilde Md, a Medical Corporation
Primary Specialty
Anesthesiology - Pain Medicine
Enumeration Date
Dec 21, 2006
Last Updated
Sep 10, 2010

Practice Location

Address
1350 E LOS ANGELES AVE
Address 2
SUITE 3 A
ZIP Code
93065-2898
Phone
(805) 504-4810

Authorized Official

Name
DR. CHAD WILDE, MD, MS
Title
PRESIDENT
Phone
(805) 504-4810

Specialties & Taxonomy Codes

Specialty
Anesthesiology - Pain MedicinePain Medicine

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