Individual provider · Type 1 NPI

Jack Winfred Wylie, MD

Orthopaedic Surgery Physician · Cottonwood, AZ

NPI number 1043255052 Active

Practice location

450 S Willard St, Suite 105
Cottonwood, AZ 86326-6743

Call (928) 634-1112 Map

Fax (928) 634-1117

Mailing address

1200 N Beaver St, Payer Credentialing
Flagstaff, AZ 86001-3118

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000X23100 (AZ)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1043255052

Jack Winfred Wylie, MD's National Provider Identifier is 1043255052, issued on Jun 17, 2006. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Cottonwood, AZ. The record was last updated on Mar 16, 2017.