Alan P K Wild is a Otolaryngology in Saint Louis, Missouri. Alan P K Wild practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Alan P K Wild is 1871582692. The last update date is 2009-11-20.
Alan P K Wild's current location address is 3660 Vista Ave, Saint Louis, Missouri. You can contact this provider via phone number 3149775110 and fax number 3149775119. The mailing address for Alan P K Wild is 3660 Vista Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan P K Wild |
|---|---|
| Address | 3660 Vista Ave, Saint Louis, Missouri |
| Phone Number | 3149775110 |
| Fax Number | 3149775119 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871582692 |
|---|---|
| Provider Enumeration Date | 2005-10-14 |
| Last Updated Date | 2009-11-20 |
Provider Mailing Address Detail
| Address | 3660 Vista Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 63110 |
| Phone Number | 3149775110 |
| Fax Number | 3149775119 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | R9D17 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40004991 | MO | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Alan P K Wild by the Centers for Medicare & Medicaid Services?
The Alan P K Wild has been issued the NPI (National Provider Identifier) 1871582692 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Alan P K Wild?
The Alan P K Wild is physically situated at 3660 Vista Ave, in the city of Saint Louis, state of MO, with the postal code 63110.
What is Alan P K Wild's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Alan P K Wild is Otolaryngology, and the taxonomy code that classifies this field of practice is 207Y00000X.
When did the Alan P K Wild receive its 1871582692?
The Alan P K Wild was issued its 1871582692 on 2005-10-14, which is the date when the organization was assigned this unique identifier.
When was the information regarding Alan P K Wild, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Alan P K Wild, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-11-20.