Wyse, Mark A

Wyse, Mark A is an individual health care provider with primary practice located at 4600 E Shea Blvd Ste 100 , Phoenix AZ 85028-6031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wyse, Mark A can be contacted via phone (602) 955-8700.

Contact Information

Primary practice address
4600 E Shea Blvd Ste 100 Phoenix AZ 85028-6031
Fax: (602) 553-8142
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12165 Arizona

Profile Details

NPI number 1346200060
LBN Legal business name Wyse, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Mar 29th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346200060 NPPES
Arizona Other 12165 LICENSE

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