Dr. Stuart R Wise
Reproductive Endocrinologist
1579 Willow Ln
Provo
, Utah 84604-2804
Dr. Stuart R Wise
Reproductive Endocrinologist
1579 Willow Ln
Provo
, Utah 84604-2804
(801) 722-4678
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About
Features
Specialties
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Stuart R Wise
- 1579 Willow Ln
- Provo, UT
- Zip : 84604-2804
- Phone : (801) 722-4678
Second Address
- Dr. Stuart R Wise
- 1579 Willow Ln
- Provo, UT
- Zip : 84604-2804
- Phone : (801) 722-4678
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VE0102X | Reproductive Endocrinologist | 161107-1205 | UT |
National Provider Identifier
| NPI | 1154582443 |
|---|---|
| Provider Name | Dr. Stuart R Wise |
| First Address | Provo, UT 84604-2804 |
| Second Address | Provo, UT 84604-2804 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2008 |
| Last Update Date | 19/06/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.