National Provider Identifier Database

DIANE D WILDER, MD – NPI #1619959525
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

DIANE D WILDER, MD
8901 CARTI WAY
LITTLE ROCK, AR72205-6523
Phone: 501-219-8777
Fax: 501-907-6522
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for DIANE D WILDER

NPI Number 1619959525
Credentials MD
Entity Individual
Enumeration date 11/16/2005
Last updated 03/30/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • AR License #: E-3196
  • AR Medicaid: 145962001
Hospital affiliation n/a

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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