Individual
GERALD ALAN WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3753
Mailing address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46608
AZ
Other
Enumeration date
06/18/2010
Last updated
10/20/2014
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