Joseph Lee Wilde in Timnath - Mohs-micrographic Surgery
Joseph Lee Wilde - NPI 1972521581
Joseph Lee Wilde is a Mohs-micrographic Surgery in Timnath, Colorado. Joseph Lee Wilde practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Joseph Lee Wilde is 1972521581. The last update date is 2016-06-07.
Joseph Lee Wilde's current location address is Po Box 69, Timnath, Colorado. You can contact this provider via phone number 9706731155. The mailing address for Joseph Lee Wilde is Po Box 69, Timnath, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Lee Wilde |
|---|---|
| Address | Po Box 69, Timnath, Colorado |
| Phone Number | 9706731155 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972521581 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2016-06-07 |
Provider Mailing Address Detail
| Address | Po Box 69 |
|---|---|
| City | Timnath |
| State | Colorado (CO) |
| Post Code | 80547 |
| Phone Number | 9706731155 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 55030 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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What is the unique 10-digit identification code issued to Joseph Lee Wilde by the Centers for Medicare & Medicaid Services?
The Joseph Lee Wilde has been assigned the NPI (National Provider Identifier) 1972521581 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Joseph Lee Wilde is located?
The Joseph Lee Wilde is situated at the following address: Po Box 69, Timnath, CO, 80547.
What is Joseph Lee Wilde's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joseph Lee Wilde's area of specialization is Mohs-micrographic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Nd0101X.
On what date was the 1972521581 assigned to Joseph Lee Wilde?
The Joseph Lee Wilde was issued its 1972521581 on 2006-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Joseph Lee Wilde last refreshed?
The information related to the Joseph Lee Wilde, including its address, specialty, and other relevant details, was last updated on 2016-06-07.