Jack Winfred Wylie in Flagstaff - Orthopaedic Surgery
Jack Winfred Wylie - NPI 1043255052
Jack Winfred Wylie is a Orthopaedic Surgery in Flagstaff, Arizona. Jack Winfred Wylie practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Jack Winfred Wylie is 1043255052. The last update date is 2017-03-16.
Jack Winfred Wylie's current location address is 1200 N Beaver St, Flagstaff, Arizona. You can contact this provider via phone number 9287732559 and fax number 9282136292. The mailing address for Jack Winfred Wylie is 1200 N Beaver St, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Winfred Wylie |
|---|---|
| Address | 1200 N Beaver St, Flagstaff, Arizona |
| Phone Number | 9287732559 |
| Fax Number | 9282136292 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1043255052 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2017-03-16 |
Provider Mailing Address Detail
| Address | 1200 N Beaver St |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860013118 |
| Phone Number | 9287732559 |
| Fax Number | 9282136292 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 23100 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 212134 | AZ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jack Winfred Wylie by the Centers for Medicare & Medicaid Services?
The Jack Winfred Wylie has been issued the NPI (National Provider Identifier) 1043255052. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jack Winfred Wylie's physical address?
The Jack Winfred Wylie is physically located at 1200 N Beaver St, in the city of Flagstaff, AZ, with the postal code 860013118.
What is the area of specialization for Jack Winfred Wylie, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack Winfred Wylie is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207X00000X.
When did the Jack Winfred Wylie receive its 1043255052?
The Jack Winfred Wylie was issued its 1043255052 on 2006-06-17, which is the date when the organization was assigned this unique identifier.
When was the Jack Winfred Wylie's information last updated?
The Jack Winfred Wylie's information was last updated on 2017-03-16.