WILLIAM JASON WILD ST
NPI 1396029328
in Gunnison, CO

Q: What is William Wild's NPI number?

The NPI number for William Wild is 1396029328. It was assigned to this individual provider in the NPPES registry on October 10, 2011.

Q: When was this NPI record last updated?

The NPPES record for William Wild was last updated on October 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 10, 2011

711 N TAYLOR ST, GUNNISON, CO 81230(970) 641-4355(970) 641-0377 Get Directions Write a Review

NPPES record last updated: October 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About William Jason Wild St NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM JASON WILD ST (NPI 1396029328) is an individual healthcare provider in Gunnison, Colorado, licensed in Colorado (1429) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1396029328

Entity TypeIndividualMale

Primary Taxonomy246ZS0400X

Provider Legal NameWILLIAM JASON WILDCredential: ST

Location Address711 N TAYLOR STGunnison, CO 81230-2243

Mailing Address711 N Taylor StGunnison, CO 81230-2243 · (970) 641-4355 · Fax (970) 641-0377

Phone(970) 641-4355

Fax(970) 641-0377

Sole ProprietorNo

Enumeration DateOctober 10, 2011

✔ NPI 1396029328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary Specialty

Taxonomy Code246ZS0400X

License✔ Licensed in CO · 1429

711 N TAYLOR ST, Gunnison, CO 81230

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