| Jeffrey Wilde Md Pllc | |
|
75 Colonia De Salud Ste 200b Sierra Vista AZ 85635-2486 | |
| (520) 255-5457 | |
| Not Available |
| Full Name | Jeffrey Wilde Md Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 75 Colonia De Salud Ste 200b, Sierra Vista, Arizona |
| Authorized Official Name and Position | Jeffery Virgil Wilde (MD/PRACTICE OWNER) |
| Authorized Official Contact | 5202555475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Wilde Md Pllc 302 El Camino Real Ste 11a Sierra Vista AZ 85635-2825 Ph: (520) 255-5475 | Jeffrey Wilde Md Pllc 75 Colonia De Salud Ste 200b Sierra Vista AZ 85635-2486 Ph: (520) 255-5457 |
| NPI Number | 1467335737 |
|---|---|
| Provider Enumeration Date | 07/25/2025 |
| Last Update Date | 07/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467335737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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