Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALONZO WILDER, PAC
ActiveALONZO WILDER, PAC is a Physician Assistant healthcare provider located in LIVINGSTON, Louisiana. NPI 1881635878 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LIVINGSTON, LA
Registration Details
- NPI Number
- 1881635878
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2006 (20.141303145421 yrs)
- Last Updated
- Jan 27, 2009
- License
-
A10241 (LA)
Practice Information
- Address
-
13960 FLORIDA BLVDLIVINGSTON, LA, 70754Browse LA providers · Browse ZIP 70754
- Phone
- 2256860158
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LIVINGSTON, LA
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES R HERRIN | PAC | 1720079593 |
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.