| Doctor Name: | DR. TROY SCOTT WILDE |
| NPI Number: | 1023306933 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 0792 |
| Business Practice Address: | 595 N Dobson Rd Ste D71 Chandler, AZ - 852244234 |
| Business Phone Number: | 4809639000 |
| Business Fax Number: | 4809630375 |
| Mailing Address: | 19411 E Reins Rd, QUEEN CREEK |
| State: | AZ |
| Postal Code: | 851428628 |
| Phone Number: | 9729519691 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2011 |
| NPI Last Update Date: | 08/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 0792 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |