Individual
LEE ROSE WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 522-9400
(928) 522-9736
Mailing address
PO BOX 1231, TUCSON, AZ 85702-1231
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
00821
AZ
Other
Enumeration date
03/30/2010
Last updated
05/12/2026
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