| Johnathon Chase Wilde, PA-C | |
|
3820 Crestwood Ln, Idaho Falls, ID 83404-4979 | |
| (208) 552-7700 | |
| Not Available |
| Full Name | Johnathon Chase Wilde |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3820 Crestwood Ln, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073231999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8361377 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Johnathon Chase Wilde, PA-C 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 Ph: (208) 552-7700 | Johnathon Chase Wilde, PA-C 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 Ph: (208) 552-7700 |
Mr. Kelly Meacham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3389 Merlin Dr, Idaho Falls, ID 83404 Phone: 208-552-9831 | |
Chloe Olivia Seegmiller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3500 Potomac Way Ste 100, Idaho Falls, ID 83404 Phone: 208-522-7666 Fax: 208-524-2821 | |
Lee S Gardner, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2725 Channing Way, Idaho Falls, ID 83404 Phone: 208-525-8448 Fax: 208-525-8118 | |
Jeremy Chad Rindlisbacher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 740 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-542-9111 Fax: 208-542-9114 | |
David Landen Day, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2985 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-523-3373 Fax: 208-523-8746 | |
Mrs. Monica J Nealis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1550 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-529-5942 Fax: 208-529-5951 |