Diane Davenport Wilder in Little Rock - Hematology & Oncology
Diane Davenport Wilder - NPI 1619959525
Diane Davenport Wilder is a Hematology & Oncology in Little Rock, Arkansas. Diane Davenport Wilder practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Diane Davenport Wilder is 1619959525. The last update date is 2022-03-30.
Diane Davenport Wilder's current location address is Po Box 55050, Little Rock, Arkansas. You can contact this provider via phone number 5012198777 and fax number 5019076522. The mailing address for Diane Davenport Wilder is Po Box 55050, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Davenport Wilder |
|---|---|
| Address | Po Box 55050, Little Rock, Arkansas |
| Phone Number | 5012198777 |
| Fax Number | 5019076522 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619959525 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2022-03-30 |
Provider Mailing Address Detail
| Address | Po Box 55050 |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722155050 |
| Phone Number | 5012198777 |
| Fax Number | 5019076522 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | E-3196 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 145962001 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Diane Davenport Wilder?
The Diane Davenport Wilder has been issued the NPI (National Provider Identifier) 1619959525 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Diane Davenport Wilder's facilities are geographically located?
The facilities of Diane Davenport Wilder are physically situated at the following location: Po Box 55050, Little Rock, AR, 722155050.
What is the area of specialization for Diane Davenport Wilder, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Diane Davenport Wilder is Hematology & Oncology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rh0003X.
On what date did the Diane Davenport Wilder receive the assignment of its 1619959525 from the Centers for Medicare & Medicaid Services?
The Diane Davenport Wilder was issued its 1619959525 by the Centers for Medicare & Medicaid Services on 2005-11-16.
When was the Diane Davenport Wilder's information last updated?
The Diane Davenport Wilder's information was last updated on 2022-03-30.
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