Individual
CARSON REED WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1184 N GILBERT RD STE 200, GILBERT, AZ 85234-2476
(480) 903-8008
Mailing address
2247 S HARPER, MESA, AZ 85209-2423
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9201
AZ
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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