JOHNATHON WILDE, PA-C

PA-C

Physician Assistant

NPI: 1073231999IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

8361377(ID)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2024

Contact & Hours

Address: 3820 CRESTWOOD LN
IDAHO FALLS, ID 83404
Phone: (208) 552-7700

Quick Facts

NPI: 1073231999
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 2

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