JOEY DARREN WILDER

SUMMIT MEDICAL GROUP, INC.

Dr JOEY DARREN WILDER is a male medical professional, specializing in Hospitalist. He graduated in 2015.

Contact

SUMMIT MEDICAL GROUP, INC.

1 MEDICAL VILLAGE DR
EDGEWOOD
KY
410173403

Tel: 8592124468

JOEY DARREN WILDER Information

Npi 1649644311
Pac Id 7416204458
Professional Enrollment Id I20180720002227
Last Name WILDER
First Name JOEY
Middle Name DARREN
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty HOSPITALIST
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SUMMIT MEDICAL GROUP, INC.
Group Practice Pac Id 2163326240
Number Of Group Practice Members 492
Line 1 Street Address 1 MEDICAL VILLAGE DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EDGEWOOD
State KY
Zip Code 410173403
Phone Number 8592124468
Hospital Affiliation Ccn 1 180035
Hospital Affiliation Lbn 1 ST ELIZABETH EDGEWOOD
Hospital Affiliation Ccn 2 100014
Hospital Affiliation Lbn 2 FLORIDA HOSPITAL NEW SMYRNA
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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