Individual
VICTORIA CHLARSON WILDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1055 N CURTIS ROAD, SOUTH TOWER, 6 WEST, BOISE, ID 83706
(208) 367-4343
(208) 367-7667
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-4343
(208) 367-7667
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M-12470
ID
207LP2900X
Pain Medicine (Anesthesiology) Physician
M-12470
ID
Other
Enumeration date
08/03/2009
Last updated
06/18/2014
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