Individual
DR. RONNIE D WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1619 CREIGHTON RD, SUITE 1, PENSACOLA, FL 32504-7152
(850) 444-4700
(850) 434-8144
Mailing address
1619 CREIGHTON RD, SUITE 1, PENSACOLA, FL 32504-7152
(850) 444-4700
(850) 444-7497
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD.22877
AL
207RN0300X
Nephrology Physician
Primary
ME78548
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257082300
—
FL
01
—
MD.22877
ALABAMA MEDICAL LICENSE
AL
01
—
ME78548
FLORIDA MEDICAL LICENSURE
FL
Enumeration date
06/01/2005
Last updated
07/21/2022
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