Wilde Desert Family Medicine
LBN: Jeffrey Wilde Md Pllc
Wilde Desert Family Medicine is an health care organization with primary practice located at 302 El Camino Real Bldg 11 , Sierra Vista AZ 85635-2860. The organization recently has 10 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Lactation Consultant, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Jeffrey Wilde Md Pllc can be contacted via phone (520) 255-5475, or through Wilde, Jeffrey Virgil via phone (520) 255-5475.
Contact Information
Primary practice address
302 El Camino Real Bldg 11
Sierra Vista AZ 85635-2860
Phone: (520) 255-5475
Fax: (855) 801-7998
Website:
Authorized official contact:
Name: Wilde, Jeffrey Virgil Doctor of Medicine (MD)
Phone: (520) 255-5475
Health care specialties
Profile Details
| NPI number | 1518515683 |
|---|---|
| LBN Legal business name | Jeffrey Wilde Md Pllc |
| DBA Doing business as | Wilde Desert Family Medicine |
| Authorized official | Wilde, Jeffrey Virgil Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2019 |
| Last updated | Mar 18th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518515683 | NPPES |
| Arizona | MEDICAID | 552797 |
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