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Contact Information

BENJAMIN B WILDE, DO
1405 HOWELL
WORLAND, WY82401
 Phone: 307-347-2555
 Fax: 307-347-9831
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BENJAMIN B WILDE · (Male)

NPI Number 1295997013
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/02/2008
Last updated 12/19/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 8661A
  • WY Medicaid 1295997013
Hospital affiliation(s)
  • DIXIE REGIONAL MEDICAL CENTER - (Acute Care)
    1380 EAST MEDICAL CENTER DRIVE
    ST GEORGE, UT 84790
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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