Wilder, Richard Barry
Wilder, Richard Barry is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr , Tampa FL 33612-9416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Wilder, Richard Barry can be contacted via phone (813) 745-1075.Contact Information
Primary practice address
12902 Usf Magnolia Dr
Tampa FL 33612-9416
Phone: (813) 745-1075
Fax: (813) 745-7231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME105988 | Florida |
Profile Details
| NPI number | 1801948112 |
|---|---|
| LBN Legal business name | Wilder, Richard Barry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jun 10th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801948112 | NPPES |
| California | Other | P00796215 | RAILROAD MEDICARE |
| California | MEDICAID | 00G709070 | RAILROAD MEDICARE |
| California | Other | 5780708 | RAILROAD MEDICARE |
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