JEFFREY WILDE MD PLLC; NPI #1467335737

Contact Information

JEFFREY WILDE MD PLLC

75 COLONIA DE SALUD STE 200B
SIERRA VISTA, AZ 85635-2486

Phone: 520-255-5457
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family Medicine	207Q00000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for JEFFREY WILDE MD PLLC

NPI #	`1467335737`
LBN Legal business name	JEFFREY WILDE MD PLLC
Authorized official	JEFFERY WILDE - (MD/PRACTICE OWNER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	07/25/2025
Last updated	07/28/2025 - About 10 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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