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Contact Information

DAVID J WILDE, MD
5872 S 900 E STE 100
MURRAY, UT84121-1677
 Phone: 801-261-0726
 Fax: 801-262-2838
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for DAVID J WILDE · (Male)

NPI # 1184253270
Status Active
Credentials MD
Entity Individual
Enumeration date 04/02/2020
Last updated 06/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • UT License # 13908035-1205
Hospital affiliation(s) Not Available
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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