Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM JASON WILD, ST
ActiveWILLIAM JASON WILD, ST is a Medical Laboratory Technician healthcare provider located in GUNNISON, Colorado. NPI 1396029328 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · GUNNISON, CO
Registration Details
- NPI Number
- 1396029328
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2011 (14.801966519314 yrs)
- Last Updated
- Oct 10, 2011
- License
-
1429 (CO)
Practice Information
- Address
-
711 N TAYLOR STGUNNISON, CO, 812302243Browse CO providers · Browse ZIP 81230
- Phone
- 9706414355
- Fax
- 9706410377
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
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.