Individual
MATTHEW ALAN WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 S CLARK ST, BUTTE, MT 59701-2328
(406) 723-2500
Mailing address
10 TOWN PLZ # 67, DURANGO, CO 81301-5104
(970) 412-9808
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRA-3451
CO
367500000X
Certified Registered Nurse Anesthetist
CRNA0370
AZ
Other
Enumeration date
12/15/2005
Last updated
09/06/2019
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