Organization
VERDE VALLEY ORTHOPEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WINFRED WYLIE MD (PHYSICIAN)
(928) 634-1112
Entity
Organization
Contact information
Practice address
450 S WILLARD ST, SUITE 101, COTTONWOOD, AZ 86326-6743
(928) 634-1112
(928) 634-1117
Mailing address
450 S WILLARD ST, SUITE 101, COTTONWOOD, AZ 86326-6743
(928) 634-1112
(928) 634-1117
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/28/2006
Last updated
08/22/2020
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