Individual provider · Type 1 NPI

Mary K. Wilde, MD

Specialist · La Jolla, CA

NPI number 1508901810 Active

Practice location

9850 Genesee Ave Ste 510
La Jolla, CA 92037-1213

Call (858) 623-2345 Map

Fax (858) 623-2343

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG65602 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508901810

Mary K. Wilde, MD's National Provider Identifier is 1508901810, issued on Feb 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in La Jolla, CA. The record was last updated on Nov 28, 2007.