DR. Brandon D Wilde, D.P.M.

NPI #1407169865 in Pocatello, Idaho

Provider Information

NPI Number
1407169865
Entity Type
Individual
Name
DR. Brandon D Wilde, D.P.M.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Credential
D.P.M.
Enumeration Date
Jul 14, 2010
Last Updated
Nov 14, 2017

Practice Location

Address
1455 BENCH RD STE B
State
Idaho
ZIP Code
83201-5084
Phone
(208) 232-0006

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle SurgeryFoot & Ankle Surgery

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