person
Dr. Amanda Louise Wilder, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1962991836

Amanda Louise Wilder is a Student in an Organized Health Care Education/Training Program based in 29 Palms, CA. Amanda Louise Wilder practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Amanda Louise Wilder is 1962991836 and holds a License No. 0101267521 (California).

The current practice location address for Amanda Louise Wilder is Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 813-679-0028.

Location: Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA, 92278
person
Provider Profile Details
NPI Number
1962991836
Provider Name
Amanda Louise Wilder
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA, 92278
Phone Number
813-679-0028
Fax Number
Provider Enumeration Date
05/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Naval Medical Center San Diego 38400 Bob Wilson Dr
City
State
Zip
92134-5000
Phone Number
813-679-0028
Fax Number
person
Provider Business Mailing Address Details
Address
Naval Medical Center San Diego 38400 Bob Wilson Dr
City
State
Zip
92134-5000
Phone Number
813-679-0028
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0101267521 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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