Individual provider · Type 1 NPI
Reece Wild, PA-C
Medical Physician Assistant · Phoenix, AZ
NPI number
1114899168
Active
Practice location
500 W Camelback Rd Unit 239
Phoenix, AZ 85013-0004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1114899168
Reece Wild, PA-C's National Provider Identifier is 1114899168, issued on Sep 19, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 19, 2025.