<Unavail>

LBN: Dustin B. Wise, M.D., P.C.
<Unavail> is an health care organization with primary practice located at 1888 W 800 N , Pleasant Grove UT 84062-4097. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Dustin B. Wise, M.D., P.C. can be contacted via phone (801) 492-7851, or through Wise, Dustin B. via phone (801) 492-7851.

Contact Information

Primary practice address
1888 W 800 N Pleasant Grove UT 84062-4097
Phone: (801) 492-7851
Fax: (801) 492-7883
Website:
Map and Directions
Authorized official contact:
Name: Wise, Dustin B. Doctor of Medicine (MD)
Phone: (801) 492-7851

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5247966-1205 Utah

Profile Details

NPI number 1932249299
LBN Legal business name Dustin B. Wise, M.D., P.C.
DBA Doing business as <Unavail>
Authorized official Wise, Dustin B. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932249299 NPPES
Utah MEDICAID 516086578002

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