Individual provider · Type 1 NPI

Alonzo Wilder, PAC

Physician Assistant · Livingston, LA

NPI number 1881635878 Active

Practice location

13960 Florida Blvd
Livingston, LA 70754

Mailing address

PO Box 261166
Baton Rouge, LA 70826-1166

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XA10241 (LA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1881635878

Alonzo Wilder, PAC's National Provider Identifier is 1881635878, issued on Jun 9, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Livingston, LA. The record was last updated on Jan 27, 2009.