Individual
CHESTER ALLEN WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
737 TRSS, LACKLAND AFB, TX 78236-5511
(210) 671-1658
Mailing address
737 TRSS, LACKLAND AFB, TX 78236-5511
(210) 671-1658
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
10/29/2009
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