Individual
PHYLICIA MARY WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
TOKSOOK BAY SUB REGIONAL CLINIC, TOKSOOK BAY, AK 99637-0028
(907) 427-3500
(907) 427-3526
Mailing address
PO BOX 37028, TOKSOOK BAY, AK 99637-0028
(907) 427-3500
(907) 427-3526
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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