DR. MARCIE STARLEY WILDE D.O. NPI 1740419365

NPI Information

  • NPI: 1740419365
  • Provider Name: DR. MARCIE STARLEY WILDE, D.O.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13840 W CAMELBACK RD STE 10
    LITCHFIELD PARK, AZ
    ZIP 85340
  • Phone: (928) 323-8112

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NPI Details

DR. Marcie Starley Wilde, D.O. is a general practice in Litchfield Park, AZ with 17 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Marcie Starley Wilde, D.O. NPI is 1740419365. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduation Year:2009

The provider's business location address is:

13840 W CAMELBACK RD STE 10
LITCHFIELD PARK, AZ
ZIP 85340-084
Phone: (928) 323-8112

The NPI 1740419365 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/2/2009 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice007073ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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