Ilan E. Wilde, PAC
Physician Assistant · Toppenish, WA
Practice location
518 W 1st AveToppenish, WA 98948-1564
- Phone
- (509) 865-5600
- Fax
- (509) 865-5783
NPI record
- NPI
- 1265489801
- Entity type
- Individual (Type 1)
- Enumeration date
- May 28, 2006
- Last updated
- August 6, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
004580 | GA |
Mailing address
PO Box 190Toppenish, WA 98948-0190
- Phone
- (509) 856-2395
- Fax
- (509) 865-0757
About Ilan Wilde
Ilan E. Wilde, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 518 W 1st Ave, Toppenish, WA 98948-1564. The NPI number 1265489801 was assigned on May 28, 2006 and the record was last updated on August 6, 2014.
Ilan Wilde lists a license in the registry: #004580 (GA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Ilan E. Wilde, PAC?
The NPI number is 1265489801.
What is the phone number of Ilan Wilde?
The phone number listed for the practice location is (509) 865-5600.
Where is Ilan Wilde located?
518 W 1st Ave, Toppenish, WA 98948-1564.
What is the taxonomy code for Ilan Wilde?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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