Organization
JEFFREY WILDE MD PLLC
Active
Organization
JEFFREY WILDE MD PLLC
Active
Parent organization
JEFFERY WILDE MD PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERY WILDE MD PLLC
Authorized official
DR. JEFFERY VIRGIL WILDE MD (MD/PRACTICE OWNER)
(520) 255-5475
Entity
Organization
Contact information
Practice address
75 COLONIA DE SALUD STE 200B, SIERRA VISTA, AZ 85635-2486
(520) 255-5457
Mailing address
302 EL CAMINO REAL STE 11A, SIERRA VISTA, AZ 85635-2825
(520) 255-5475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/28/2025
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