Jack Winfred Wylie is a Cottonwood, Arizona based male orthopedic surgeon who is specialized in Orthopedic Surgery. Active license number of Jack Winfred Wylie is 23100 for Orthopedic Surgery in Arizona.
Jack Winfred Wylie is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Jack Winfred Wylie speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopedic Surgery
Credentials:
MD
Gender:
Male
Practice Address:
450 S Willard St, Suite 105, Cottonwood, Arizona, 86326-6743
Phone:
928-634-1112
Fax:
928-634-1117
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1043255052
NPI Enumeration Date:
17 Jun, 2006
NPI Last Update On:
16 Mar, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Winfred Wylie are as mentioned below.
License Number
Specialization
State
Status
23100
Orthopedic Surgery
Arizona
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jack Winfred Wylie such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
212134
Medicaid
Arizona
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1200 N Beaver St, Payer Credentialing Flagstaff, Arizona
Zip:
86001-3118
Phone Number:
928-773-2559
Fax Number:
928-213-6292
Patients can reach Jack Winfred Wylie at 450 S Willard St, Suite 105, Cottonwood, Arizona or can call to book an appointment on 928-634-1112. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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