MR. Ilan E Wilde, PAC

NPI #1265489801 in Toppenish, Washington

Provider Information

NPI Number: 1265489801
Entity Type: Individual
Name: MR. Ilan E Wilde, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: May 28, 2006
Last Updated: Aug 6, 2014

Practice Location

Address: 518 W 1ST AVE
City: Toppenish
State: Washington
ZIP Code: 98948-1564
Phone: (509) 865-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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