Jason R Wild
Medical Specialty
Professional ID
- NPI: 1912107764
- PECOS ID: 5698899110
- Enrollment ID: I20110922000089
- Credential(MD, DO, DPM):
- Medical School: Georgetown University Of Medicine
- Medical School Graduation Year: 2005
Hospital Service
- Hospital CCN1: 030064
- Business Name (LBN)1: Banner-university Medical Center Tucson Campus
- Hospital CCN2: 030111
- Business Name (LBN)2: Banner-university Medical Center South Campus
Medical Practices
- Organization Name: Banner University Medical Group
- Group Practice ID assigned by PECOS: 7719899871
- Number of Group Practice member: 667
Location
- Address1: 1501 N Campbell Ave
- Address2:
- City: Tucson
- State: Arizona
- Zip Code: 85724
- Phone Number:
Location
- Address1: 1501 N Campbell Ave Room
- Address2:
- City: Tucson
- State: Arizona
- Zip Code: 85724
- Phone Number:
Location
- Address1: 1605 N Campbell Ave
- Address2: Banner Univ Med Center Tucson Pre Surgery Services
- City: Tucson
- State: Arizona
- Zip Code: 85724
- Phone Number: (520)694-4232
Location
- Address1: 707 N Alvernon Way
- Address2:
- City: Tucson
- State: Arizona
- Zip Code: 85711
- Phone Number:
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):