Wildwood Physician Services, LLC
NPI #1629560917 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1629560917
- Entity Type
- Organization
- Organization Name
- Wildwood Physician Services, LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jun 1, 2018
- Last Updated
- Mar 23, 2022
Practice Location
- Address
- 3700 S MAIN ST
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-7017
- Phone
- (540) 951-1111
Authorized Official
- Name
- LISHA C FALK
- Title
- VP OF CONTRACTING
- Phone
- (337) 609-1221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner |
| Emergency Medicine |
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