Individual provider · Type 1 NPI

Lee Rose Wilde

Obstetrics & Gynecology Physician · Flagstaff, AZ

NPI number 1700101060 Active

Practice location

2920 N 4th St
Flagstaff, AZ 86004-1816

Fax (928) 522-9736

Mailing address

PO Box 1231
Tucson, AZ 85702-1231

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X00821 (AZ)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1700101060

Lee Rose Wilde's National Provider Identifier is 1700101060, issued on Mar 30, 2010. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Flagstaff, AZ. The record was last updated on May 12, 2026.