Organization
CAROL WILDER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL WILDER MD (PRESIDENT)
(808) 345-6976
Entity
Organization
Contact information
Practice address
45 MOHOULI ST, HILO, HI 96720-4145
(808) 845-0728
Mailing address
PO BOX 11148, HILO, HI 96721-6148
(808) 345-6976
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
10509
HI
Other
Enumeration date
01/29/2009
Last updated
02/02/2009
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