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Search › Idaho › 207Q00000X

Trevor Wilde, D.O

NPI 1538422019 · on the registry since 2012

Practice

Address
335 E Main St Ste 1
Saint Anthony, ID 83445
Phone
(208) 356-4900
Fax
(208) 624-4116
Organisation at this address
Upper Valley Community Health Services Inc
Upper Valley Community Health Services Inc
Upper Valley Community Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Additional practice sites

  • 72 S 1st E Ste 101, Rexburg, ID

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-16

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