Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Winfred Wylie, MD

Individual provider Orthopaedic Surgery Physician · NPI 1043255052

Jack Winfred Wylie, MD is an Orthopaedic Surgery Physician in Cottonwood, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

450 S Willard St Ste 105
Cottonwood, AZ 86326-6743
Phone: (928) 634-1112
Fax: (928) 634-1117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 23100 (AZ)

Record details

NPI number1043255052
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2006
Last updated in NPPESMarch 16, 2017

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