# GABRIEL P WILDS MD APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205525516
- **Authorized official:** DR. GABRIEL PRICE WILDS MD (PRESIDENT)
- **Authorized official phone:** (408) 355-4624

## Contact information

- **Practice address:** 345 S HALCYON RD, ARROYO GRANDE, CA 93420-3817
- **Practice address phone:** (408) 355-4624
- **Mailing address:** PO BOX 324, DANVILLE, CA 94526-0324
- **Mailing address phone:** (925) 212-7793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2023
- **Last updated:** 07/13/2023