Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL MICHAEL WILDE, PA-C, SC.D.
ActivePAUL MICHAEL WILDE, PA-C, SC.D. is a Medical Physician Assistant healthcare provider located in FORT LEAVENWORTH, Kansas. NPI 1558361535 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FORT LEAVENWORTH, KS
Registration Details
- NPI Number
- 1558361535
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2005 (21.013061266686 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1002775 NCCPA (GA)
Practice Information
- Address
-
550 POPE AVEFORT LEAVENWORTH, KS, 660272332Browse KS providers · Browse ZIP 66027
- Phone
- 9136846198
- Fax
- 9136846128
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FORT LEAVENWORTH, KS
| Name | Credential | NPI |
|---|---|---|
| DEBORAH LYNN HEVEL | PA | 1437130531 |
| MS. SHERRY ANN HUGHES | PHYSICIAN ASSISTANT | 1164403150 |
| MISS GAIL TYRIA HOUSTON | PA-C | 1316929888 |
| MIKAELA ANN ALTIS | PA-C | 1366053241 |
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.