Individual
DR. REBECCA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3600
Mailing address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3462
(417) 875-3292
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
105106
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206976029
—
MO
Enumeration date
12/30/2008
Last updated
09/30/2025
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