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Johnathon Wilde, PA-C
NPI 1073231999 · on the registry since 2022
Practice
- Address
- 3820 Crestwood Ln
Idaho Falls, ID 83404 - Phone
- (208) 552-7700
- Organisation at this address
- Precision Medical Care Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho