Mr Ilan E Wilde, PAC | |
518 W 1st Ave, Toppenish, WA 98948-1564 | |
(509) 865-5600 | |
(509) 865-5783 |
Full Name | Mr Ilan E Wilde |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 518 W 1st Ave, Toppenish, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265489801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 004580 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Ilan E Wilde, PAC Po Box 190, Toppenish, WA 98948-0190 Ph: (509) 856-2395 | Mr Ilan E Wilde, PAC 518 W 1st Ave, Toppenish, WA 98948-1564 Ph: (509) 865-5600 |
Katherine Cousineau, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 518 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5600 Fax: 509-865-5783 | |
Kaitlyn Llewellyn, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5600 Fax: 509-865-5783 | |
Destiny Tierra Noel, Physician Assistant Medicare: Medicare Enrolled Practice Location: 510 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5600 Fax: 509-865-5783 | |
Jessica Marie Ahern, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5600 Fax: 509-865-5783 | |
Ellen I. Teo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 511 S Elm St, Toppenish, WA 98948 Phone: 509-865-5121 | |
Houser Tyler Duncan, Physician Assistant Medicare: Medicare Enrolled Practice Location: 510 W 1st Ave, Toppenish, WA 98948 Phone: 509-865-5600 Fax: 509-865-5783 |