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“Family Medicine Physician” (Saint Anthony, ID)

Location: Saint Anthony, ID
Taxonomy: Family Medicine Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1538422019 — DR. TREVOR GLADE WILDE D.O.
Practice Location Address:
335 E MAIN ST STE 1
SAINT ANTHONY ID
83445-1546
Practice Phone: 208-356-4900

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