Medwise Pc

LBN: Medwise Pc
Medwise Pc is an health care organization with primary practice located at 790 Gail Gardner Way , Prescott AZ 86305-2337. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Medwise Pc can be contacted via phone (928) 776-9900, or through Wickstrom, Ted via phone (928) 776-9900.

Contact Information

Primary practice address
790 Gail Gardner Way Prescott AZ 86305-2337
Phone: (928) 776-9900
Fax: (928) 776-1444
Website:
Map and Directions
Authorized official contact:
Name: Wickstrom, Ted Doctor of Medicine (MD)
Phone: (928) 776-9900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 21726 Arizona

Profile Details

NPI number 1427006253
LBN Legal business name Medwise Pc
DBA Doing business as
Authorized official Wickstrom, Ted Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Mar 7th, 2013 - about 11 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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