Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ILAN E WILDE, PAC
ActiveMR. ILAN E WILDE, PAC is a Physician Assistant healthcare provider located in TOPPENISH, Washington. NPI 1265489801 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TOPPENISH, WA
Registration Details
- NPI Number
- 1265489801
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2006 (20.168902454473 yrs)
- Last Updated
- Aug 6, 2014
- License
-
004580 (GA)
Practice Information
- Address
-
518 W 1ST AVETOPPENISH, WA, 989481564Browse WA providers · Browse ZIP 98948
- Phone
- 5098655600
- Fax
- 5098655783
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in TOPPENISH, WA
| Name | Credential | NPI |
|---|---|---|
| MICHELLE WOMACK | — | 1972679983 |
| ANGELA LEE BOSMA | PA | 1992251623 |
| JESSICA MARIE AHERN | — | 1275041220 |
| MARTIN FLORES | — | 1528540036 |
| KAITLYN MENDIOLA | — | 1124595814 |
| NICOLE STRINGER | — | 1407314651 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.