| Wilde Foot & Ankle Clinic Pa | |
|
407 E Centennial Dr, Pittsburg, KS 66762-6505 | |
| (620) 231-5940 | |
| (620) 231-5948 |
| Full Name | Wilde Foot & Ankle Clinic Pa |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 407 E Centennial Dr, Pittsburg, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225253305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1200315 (Kansas) | Primary |
| Provider Name | Corin Q Wilde |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285616375 PECOS PAC ID: 0042286791 Enrollment ID: I20100505000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilde Foot & Ankle Clinic Pa 407 E Centennial Dr, Pittsburg, KS 66762-6505 Ph: (620) 231-5940 | Wilde Foot & Ankle Clinic Pa 407 E Centennial Dr, Pittsburg, KS 66762-6505 Ph: (620) 231-5940 |
Dr. Corin Q Wilde, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 407 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-231-5940 Fax: 620-231-5948 | |
Dr. Richard Paul Hudson, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2309 Tucker Terrace, Pittsburg, KS 66762 Phone: 620-231-4010 Fax: 620-231-4010 |