Carol Jean Wilder in Medford - Sports Medicine
Carol Jean Wilder - NPI 1801982749
Carol Jean Wilder is a Sports Medicine in Medford, Oregon. Carol Jean Wilder practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Carol Jean Wilder is 1801982749. The last update date is 2021-03-25.
Carol Jean Wilder's current location address is 70 Bower Drive, Medford, Oregon. You can contact this provider via phone number 5417343650 and fax number 2063686101. The mailing address for Carol Jean Wilder is 70 Bower Drive, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Jean Wilder |
|---|---|
| Address | 70 Bower Drive, Medford, Oregon |
| Phone Number | 5417343650 |
| Fax Number | 2063686101 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1801982749 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2021-03-25 |
Provider Mailing Address Detail
| Address | 70 Bower Drive |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 97501 |
| Phone Number | 5417343650 |
| Fax Number | 2063686101 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 10509 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 49963303 | HI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Carol Jean Wilder by the Centers for Medicare & Medicaid Services?
The Carol Jean Wilder has been assigned the NPI (National Provider Identifier) 1801982749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Carol Jean Wilder is physically located?
The Carol Jean Wilder is physically situated at the following address: 70 Bower Drive, Medford, OR, 97501.
What is Carol Jean Wilder's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carol Jean Wilder is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.
On what date did the Carol Jean Wilder receive its 1801982749 assignment from the Centers for Medicare & Medicaid Services?
The Carol Jean Wilder was assigned its 1801982749 by the Centers for Medicare & Medicaid Services on 2006-10-05.
As of what date were the details pertaining to Carol Jean Wilder last refreshed?
The information related to the Carol Jean Wilder, including its address, specialty, and other relevant details, was last updated on 2021-03-25.
NPI Number: 1073511655
Address: 853 Second Street Pike, Richboro, PA