Wilde Foot & Ankle Clinic Pa | |
407 E Centennial Dr, Pittsburg, KS 66762-6505 | |
(620) 231-5940 | |
(620) 231-5948 |
Full Name | Wilde Foot & Ankle Clinic Pa |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 407 E Centennial Dr, Pittsburg, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225253305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 1200315 (Kansas) | Primary |
Provider Name | Corin Q Wilde |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1285616375 PECOS PAC ID: 0042286791 Enrollment ID: I20100505000571 |
Mailing Address | Practice Location Address |
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Wilde Foot & Ankle Clinic Pa 407 E Centennial Dr, Pittsburg, KS 66762-6505 Ph: (620) 231-5940 | Wilde Foot & Ankle Clinic Pa 407 E Centennial Dr, Pittsburg, KS 66762-6505 Ph: (620) 231-5940 |
Dr. Corin Q Wilde, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 407 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-231-5940 Fax: 620-231-5948 | |
Dr. Richard Paul Hudson, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2309 Tucker Terrace, Pittsburg, KS 66762 Phone: 620-231-4010 Fax: 620-231-4010 |