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Individual

MRS. TRISHA J WILDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
61250 SE COOMBS PL, BEND, OR 97702-3704
(541) 706-5930
(541) 706-5931
Mailing address
1236 NW BALTIMORE AVE, BEND, OR 97703-3125
(530) 526-3218

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21676
CA

Other

Enumeration date
07/26/2011
Last updated
12/03/2024
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