Alonzo Wilder, PAC

NPI #1881635878 in Livingston, Louisiana

Provider Information

NPI Number: 1881635878
Entity Type: Individual
Name: Alonzo Wilder, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jun 9, 2006
Last Updated: Jan 27, 2009

Practice Location

Address: 13960 FLORIDA BLVD
City: Livingston
State: Louisiana
ZIP Code: 70754
Phone: (225) 686-0158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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