Mark F Wildman in Columbia - Physician Assistant
Mark F Wildman - NPI 1922091560
Mark F Wildman is a Physician Assistant in Columbia, Missouri. Mark F Wildman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark F Wildman is 1922091560. The last update date is 2008-07-30.
Mark F Wildman's current location address is 1 S Keene St, Columbia, Missouri. You can contact this provider via phone number 5734432402 and fax number 5734430574. The mailing address for Mark F Wildman is 1 S Keene St, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark F Wildman |
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Address | 1 S Keene St, Columbia, Missouri |
Phone Number | 5734432402 |
Fax Number | 5734430574 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1922091560 |
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Provider Enumeration Date | 2005-08-30 |
Last Updated Date | 2008-07-30 |
Provider Mailing Address Detail
Address | 1 S Keene St |
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City | Columbia |
State | Missouri (MO) |
Post Code | 652017199 |
Phone Number | 5734432402 |
Fax Number | 5734430574 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 105965 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Post Comment/ Review Below
Could you provide the complete physical address where Mark F Wildman is located?
The Mark F Wildman is situated at the following address: 1 S Keene St, Columbia, MO, 652017199.
Could you kindly provide the complete physical address where Mark F Wildman's facilities are geographically located?
The facilities of Mark F Wildman are physically situated at the following location: 1 S Keene St, Columbia, MO, 652017199.
What is Mark F Wildman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark F Wildman is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Mark F Wildman receive its 1922091560 assignment from the Centers for Medicare & Medicaid Services?
The Mark F Wildman was assigned its 1922091560 on 2005-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mark F Wildman most recently updated or refreshed?
The details pertaining to the Mark F Wildman, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-30.
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