Tanya Marya Wildes in Saint Peters - Medical Oncology
Tanya Marya Wildes - NPI 1659592152
Tanya Marya Wildes is a Medical Oncology in Saint Peters, Missouri. Tanya Marya Wildes practices all healthcare services and medical treatments related to Medical Oncology. The NPI Number for Tanya Marya Wildes is 1659592152. The last update date is 2018-01-29.
Tanya Marya Wildes's current location address is 150 Entrance Way, Saint Peters, Missouri. You can contact this provider via phone number 6369963360 and fax number 6369169176. The mailing address for Tanya Marya Wildes is 150 Entrance Way, Saint Peters, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanya Marya Wildes |
|---|---|
| Address | 150 Entrance Way, Saint Peters, Missouri |
| Phone Number | 6369963360 |
| Fax Number | 6369169176 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1659592152 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2018-01-29 |
Provider Mailing Address Detail
| Address | 150 Entrance Way |
|---|---|
| City | Saint Peters |
| State | Missouri (MO) |
| Post Code | 633761645 |
| Phone Number | 6369963360 |
| Fax Number | 6369169176 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Oncology |
|---|---|
| Taxonomy | 207Rx0202X |
| Licence No | 2009005695 |
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Definition: An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ENROLLED | IL | -- | |
| 1659592152 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tanya Marya Wildes?
The Tanya Marya Wildes has been issued the NPI (National Provider Identifier) 1659592152 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tanya Marya Wildes?
The Tanya Marya Wildes is physically situated at 150 Entrance Way, in the city of Saint Peters, state of MO, with the postal code 633761645.
What is the area of specialization for Tanya Marya Wildes, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tanya Marya Wildes is Medical Oncology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rx0202X.
On what date did Tanya Marya Wildes receive its 1659592152 assignment from the Centers for Medicare & Medicaid Services?
The Tanya Marya Wildes was assigned its 1659592152 on 2007-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Tanya Marya Wildes most recently updated or revised?
The details related to Tanya Marya Wildes, including its address, specialty, and other relevant information, were last updated or revised on 2018-01-29.