Paul Edward Wise in Saint Louis - Colon & Rectal Surgery
Paul Edward Wise - NPI 1619076056
Paul Edward Wise is a Colon & Rectal Surgery in Saint Louis, Missouri. Paul Edward Wise practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Paul Edward Wise is 1619076056. The last update date is 2021-11-17.
Paul Edward Wise's current location address is 660 S Euclid Ave, Saint Louis, Missouri. You can contact this provider via phone number 3144547177 and fax number 8884257946. The mailing address for Paul Edward Wise is 660 S Euclid Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paul Edward Wise |
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Address | 660 S Euclid Ave, Saint Louis, Missouri |
Phone Number | 3144547177 |
Fax Number | 8884257946 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1619076056 |
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Provider Enumeration Date | 2006-09-22 |
Last Updated Date | 2021-11-17 |
Provider Mailing Address Detail
Address | 660 S Euclid Ave |
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City | Saint Louis |
State | Missouri (MO) |
Post Code | 631101010 |
Phone Number | 3144547177 |
Fax Number | 8884257946 |
Provider's Primary Taxonomy Detail
Speciality | Colon & Rectal Surgery |
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Taxonomy | 208C00000X |
Licence No | 2012011934 |
Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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209625003 | MO | -- |
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What is the unique 10-digit identifier code issued to Paul Edward Wise by the Centers for Medicare & Medicaid Services?
The Paul Edward Wise has been assigned the NPI (National Provider Identifier) 1619076056 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Paul Edward Wise's facilities are situated?
The facilities of Paul Edward Wise are physically located at the following address: 660 S Euclid Ave, Saint Louis, MO, 631101010.
What is the Paul Edward Wise's area of specialization and corresponding taxonomy classification?
The Paul Edward Wise's specialty field is Colon & Rectal Surgery, and it falls under the taxonomy code 208C00000X, which categorizes healthcare providers based on their specialties.
When did Paul Edward Wise receive its 1619076056 assignment?
The Paul Edward Wise was assigned its 1619076056 on 2006-09-22, which is the date when this unique identifier was issued to the organization.
As of what date were the Paul Edward Wise's details last updated?
The information pertaining to the Paul Edward Wise, including its address, specialty, and other details, was most recently updated on 2021-11-17.
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