ROBERT J WYLIE MD PC
Medical Practice at High Dr, Lakeside, AZ

License number
Arizona 18644A
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: DR. ROBERT J WYLIE MD
Title: OWNER
Phone: (928) 242-1162
Address
Address
5078 High Dr, Lakeside, AZ 85929
National Provider ID: 1538133848
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROBERT J. WYLIE, M.D., PC

Lakeside, AZ

Industry:
Medical Doctor's Office
Doing business as:
Robert J Wylie MD, PC
Registration:
Jun 8, 1993
Phone:
(928) 537-3399 (Phone)
Addresses:
PO Box 2170, Lakeside, AZ 85929 (Physical)
5658 Hwy 260, Lakeside, AZ 85929
5078 High Dr, Lakeside, AZ 85929
State ID:
-0251839-3
Expiration:
Perpetual
Medical Doctors:
Robert J Wylie Md (President/ceo), PO Box 2170, Lakeside, AZ 85929 (Physical),Robert J. Wylie (President, Medical Doctor, Owner),Laura Vandenheede (Medical Doctor)
Agent:
Jack Barker,Suite SUITE B, Pinetop, AZ 85935 (Physical)

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