Wild, John J.

Wild, John J. is an individual health care provider with primary practice located at 5301 E Grant Rd Orthopaedic Bldg, 1St Floor, Tucson AZ 85712-2805. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Wild, John J. can be contacted via phone (520) 784-6200.

Contact Information

Primary practice address
5301 E Grant Rd Orthopaedic Bldg, 1St Floor Tucson AZ 85712-2805
Phone: (520) 784-6200
Fax: (520) 784-6109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 14640 Arizona
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 14640 Arizona

Profile Details

NPI number 1811998404
LBN Legal business name Wild, John J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Feb 10th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811998404 NPPES
Arizona MEDICAID 249335

Popular Providers