Individual
HERSCHEL W. WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-5502
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-5502
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12985877-1205
UT
Other
Enumeration date
04/20/2021
Last updated
05/20/2025
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