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Dr. Perry Joe Wise, ND
General Practice Physician in Raymond, Washington
NPI 1033342720

Perry Joe Wise is a General Practice Physician based in South Bend, WA. Perry Joe Wise practices in Raymond, WA and has the professional credentials of ND. The NPI Number for Perry Joe Wise is 1033342720 and holds a License No. NT00000808 (Washington).

The current practice location address for Perry Joe Wise is 723 Ballentine St, Raymond, WA and can be reached out via phone at 360-581-2252.

Location: 723 Ballentine St, Raymond, WA, 98586-0308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033342720
Provider Name
Perry Joe Wise
Credential
ND
Provider Entity Type
Individual
Gender
Male
Address
723 Ballentine St, Raymond, WA, 98586-0308
Phone Number
360-581-2252
Fax Number
Provider Enumeration Date
08/27/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
723 Ballentine St
City
Raymond
State
Washington
Zip
98577-3603
Phone Number
360-581-2252
Fax Number
person
Provider Business Mailing Address Details
Address
723 Ballentine St
City
Raymond
State
Washington
Zip
98577-3603
Phone Number
360-581-2252
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
NT00000808 (Washington)
Definition
Definition to come...
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