Individual
DR. JOHN JAMES WILD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 E GRANT RD, ORTHOPAEDIC BLDG, 1ST FLOOR, TUCSON, AZ 85712-2805
(520) 784-6200
(520) 784-6109
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
41165
AZ
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
41165
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
41165
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417281
—
AZ
Enumeration date
05/09/2007
Last updated
07/19/2024
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