| Jack Winfred Wylie, MD | |
|
450 S Willard St, Suite 105, Cottonwood, AZ 86326-6743 | |
| (928) 634-1112 | |
| (928) 634-1117 |
| Full Name | Jack Winfred Wylie |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 450 S Willard St, Cottonwood, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043255052 | NPI | - | NPPES |
| 212134 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 23100 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Winfred Wylie, MD 1200 N Beaver St, Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 773-2559 | Jack Winfred Wylie, MD 450 S Willard St, Suite 105, Cottonwood, AZ 86326-6743 Ph: (928) 634-1112 |
Brian T Duggan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St, Cottonwood, AZ 86326 Phone: 928-639-6025 Fax: 928-634-1117 | |
Dr. William Hallier, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St, Cottonwood, AZ 86326 Phone: 928-639-6025 Fax: 928-634-1117 | |
Dr. David G Van De Wyngaerde, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 340 S Willard St, Cottonwood, AZ 86326 Phone: 928-639-7960 | |
Richard Cobden, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 708 Cove Pkwy, Cottonwood, AZ 86326 Phone: 907-374-6602 Fax: 800-877-5680 | |
Dr. Allen D Boyd, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 450 S Willard St, Suite 105, Cottonwood, AZ 86326 Phone: 928-634-1112 Fax: 928-634-1117 |