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Individual

REECE WILD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
500 W CAMELBACK RD UNIT 239, PHOENIX, AZ 85013-0004
(772) 486-1861
Mailing address
500 W CAMELBACK RD UNIT 239, PHOENIX, AZ 85013-0004
(772) 486-1861

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
AZ

Other

Enumeration date
09/19/2025
Last updated
09/19/2025
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