MR. Thomas W Wildes, PA-C
NPI #1578668620 in Plant City, Florida
Provider Information
- NPI Number
- 1578668620
- Entity Type
- Individual
- Name
- MR. Thomas W Wildes, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 110 SOUTHERN OAKS DR
- City
- Plant City
- State
- Florida
- ZIP Code
- 33563-1446
- Phone
- (813) 752-0757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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