Stuart R Wise M.D.

NPI 1154582443 - Obstetrics & Gynecology - 207VE0102X

NPI Details
NPI 1154582443
Gender Male
Enumeration Date 06/19/2008
Last Updated 06/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1579 WILLOW LN
PROVO UT, 84604-2804, US
Phone (801) 722-4678
Fax
Business Location
1579 WILLOW LN
PROVO UT, 84604-2804, US
Phone (801) 722-4678
Fax
Toxanomy
Taxonomy Code 207VE0102X
License State Utah
License Number 161107-1205
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According to our database, Dr. Stuart R Wise M.D. NPI is 1154582443, taxonomy code is 207VE0102X and license number is 161107-1205, license state is located at Utah. Stuart R Wise M.D. physically located at 1579 Willow Ln, Provo UT, 84604-2804. NPI Number Stuart R Wise M.D. has the Individual type.

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1154582443 NPI number is provided on an as is basis without warranty of any kind. 1154582443 is maintained by the National Plan & Provider Enumeration System. The contents of Stuart R Wise M.D. are for informational purposes only.