Organization
JEFFREY WILDE MD PLLC
Active
Other names
Wilde Desert Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY VIRGIL WILDE MD (PHYSICIAN/OWNER)
(520) 255-5475
Entity
Organization
Contact information
Practice address
302 EL CAMINO REAL BLDG 11, SIERRA VISTA, AZ 85635-2860
(520) 255-5475
(855) 801-7998
Mailing address
302 EL CAMINO REAL BLDG 11, SIERRA VISTA, AZ 85635-2860
(520) 255-5475
(855) 801-7998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
552797
—
AZ
Enumeration date
08/30/2019
Last updated
03/07/2025
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