Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAEGAN DEWILDE
Active Sole ProprietorRAEGAN DEWILDE is a Medical Physician Assistant healthcare provider located in FAIRVIEW, Oklahoma. NPI 1780226084 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FAIRVIEW, OK
Registration Details
- NPI Number
- 1780226084
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2019 (6.8444170639178 yrs)
- Last Updated
- Jun 8, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
523 E STATE RDFAIRVIEW, OK, 737371453Browse OK providers · Browse ZIP 73737
- Phone
- 5802272585
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in FAIRVIEW, OK
| Name | Credential | NPI |
|---|---|---|
| JERRY BRAZIEL | P.A.-C | 1528462603 |
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.