Individual provider · Type 1 NPI

Elizabeth S. Wild, MD, MS

Neurological Surgery Physician · Shreveport, LA

NPI number 1396189296 Active

Practice location

1501 Kings Hwy, Neurosurgery
Shreveport, LA 71103-4228

Fax (318) 813-2491

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X4301502104 (MI)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1396189296

Elizabeth S. Wild, MD, MS's National Provider Identifier is 1396189296, issued on Apr 22, 2013. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Shreveport, LA. The record was last updated on Jul 1, 2020.