Organization
WILDWOOD MEDICAL VENTURES
Active
Organization
WILDWOOD MEDICAL VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH LYNN MACASKILL PA (PHYSICIAN ASSISTANT)
(910) 685-0982
Entity
Organization
Contact information
Practice address
16318 MONUMENT ROCK CT, MONUMENT, CO 80132-6199
(910) 685-0982
Mailing address
16318 MONUMENT ROCK CT, MONUMENT, CO 80132-6199
(910) 685-0982
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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