Individual
DR. BRADLEY R WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
801 ROBERTSON AVE, WORLAND, WY 82401-2717
(307) 347-4224
(307) 347-4240
Mailing address
PO BOX 17, WORLAND, WY 82401-0017
(307) 431-5683
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
379
WY
Other
Enumeration date
11/09/2006
Last updated
04/10/2017
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