Organization
ASHLEY P. WILDE, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY PAUL WILDE M.D. (PRESIDENT)
(310) 792-3914
Entity
Organization
Contact information
Practice address
9542 ARTESIA BLVD, BELLFLOWER, CA 90706-6511
(562) 925-8355
Mailing address
PO BOX 3999, TORRANCE, CA 90510-3999
(310) 792-3914
(310) 792-3621
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G79378
CA
Other
Enumeration date
06/13/2007
Last updated
07/23/2008
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