Dustin Bryant Wise in Pleasant Grove - Pediatrics
Dustin Bryant Wise - NPI 1811945769
Dustin Bryant Wise is a Pediatrics in Pleasant Grove, Utah. Dustin Bryant Wise practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dustin Bryant Wise is 1811945769. The last update date is 2021-09-09.
Dustin Bryant Wise's current location address is 1888 W 800 N, Pleasant Grove, Utah. You can contact this provider via phone number 8014927851 and fax number 8014927883. The mailing address for Dustin Bryant Wise is 1888 W 800 N, Pleasant Grove, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dustin Bryant Wise |
|---|---|
| Address | 1888 W 800 N, Pleasant Grove, Utah |
| Phone Number | 8014927851 |
| Fax Number | 8014927883 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1811945769 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2021-09-09 |
Provider Mailing Address Detail
| Address | 1888 W 800 N |
|---|---|
| City | Pleasant Grove |
| State | Utah (UT) |
| Post Code | 84062 |
| Phone Number | 8014927851 |
| Fax Number | 8014927883 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 52479661205 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 107017722102 | UT | IHC HEALTH PLANS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dustin Bryant Wise by the Centers for Medicare & Medicaid Services?
The Dustin Bryant Wise has been issued the NPI (National Provider Identifier) 1811945769 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Dustin Bryant Wise?
The Dustin Bryant Wise is physically situated at 1888 W 800 N, in the city of Pleasant Grove, state of UT, with the postal code 84062.
What is the area of specialization for Dustin Bryant Wise, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dustin Bryant Wise is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date was the 1811945769 assigned to Dustin Bryant Wise?
The Dustin Bryant Wise was issued its 1811945769 on 2006-05-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Dustin Bryant Wise, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dustin Bryant Wise, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-09-09.