# DR. WILLIAM W IDE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851528988
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0101248009 | VA | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | 0101248009 | VA | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | D0091395 | MD | — |

## Other

- **Enumeration date:** 06/16/2009
- **Last updated:** 09/30/2026
