Wilde, Lee Rose

Wilde, Lee Rose is an individual health care provider with primary practice located at 167 North Main St , Tuba City AZ 86045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wilde, Lee Rose can be contacted via phone (866) 976-5940.

Contact Information

Primary practice address
167 North Main St Tuba City AZ 86045
Phone: (866) 976-5940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 00821 Arizona

Profile Details

NPI number 1700101060
LBN Legal business name Wilde, Lee Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2010
Last updated Sep 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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