Robert J Wylie Md Pc

LBN: Robert J Wylie Md Pc
Robert J Wylie Md Pc is an health care organization with primary practice located at 5078 High Dr , Lakeside AZ 85929-5551. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Robert J Wylie Md Pc can be contacted via phone (928) 242-1162, or through Wylie, Robert J via phone (928) 242-1162.

Contact Information

Primary practice address
5078 High Dr Lakeside AZ 85929-5551
Phone: (928) 242-1162
Fax: (928) 368-9080
Website:
Map and Directions
Authorized official contact:
Name: Wylie, Robert J Doctor of Medicine (MD)
Phone: (928) 242-1162

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 18644A Arizona

Profile Details

NPI number 1538133848
LBN Legal business name Robert J Wylie Md Pc
DBA Doing business as
Authorized official Wylie, Robert J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2006
Last updated Mar 21st, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538133848 NPPES
Arizona MEDICAID 286254
Arizona Other AZ0342850
Arizona Other 241333500

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