Medwise Pc is a Diagnostic Radiology in Prescott, Arizona. Medwise Pc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Medwise Pc is 1427006253. The last update date is 2013-03-07.
Medwise Pc's current location address is 790 Gail Gardner Way, Prescott, Arizona. You can contact this provider via phone number 9287769900 and fax number 9287761444. The mailing address for Medwise Pc is 790 Gail Gardner Way, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Medwise Pc |
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Address | 790 Gail Gardner Way, Prescott, Arizona |
Phone Number | 9287769900 |
Fax Number | 9287761444 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
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Authorized Official Name | Wickstrom Ted |
Credentials | MD |
Telephone Number | 9287769900 |
NPI Number Detail
NPI Number | 1427006253 |
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Provider Enumeration Date | 2006-05-04 |
Last Updated Date | 2013-03-07 |
Provider Mailing Address Detail
Address | 790 Gail Gardner Way |
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City | Prescott |
State | Arizona (AZ) |
Post Code | 863052337 |
Phone Number | 9287769900 |
Fax Number | 9287761444 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | 21726 |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Medwise Pc?
The Medwise Pc has been issued the NPI (National Provider Identifier) 1427006253 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Medwise Pc's physical address?
The Medwise Pc is physically located at 790 Gail Gardner Way, in the city of Prescott, AZ, with the postal code 863052337.
What is Medwise Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Medwise Pc's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
On what date did the Medwise Pc receive the assignment of its 1427006253 from the Centers for Medicare & Medicaid Services?
The Medwise Pc was issued its 1427006253 by the Centers for Medicare & Medicaid Services on 2006-05-04.
As of what date was the information pertaining to Medwise Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Medwise Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-03-07.