Organization
BRIAN CRANFORD WILDER APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WILDER (OWNER)
(337) 246-7200
Entity
Organization
Contact information
Practice address
2539 F E LANDRY RD, JENNINGS, LA 70546-8618
(337) 991-9276
(337) 943-0846
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
02/04/2019
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