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Dakota Wise, MD
Student in an Organized Health Care Education/Training Program in Flagstaff, Arizona
NPI 1942986419

Dakota Wise is a Student in an Organized Health Care Education/Training Program based in Flagstaff, AZ. Dakota Wise practices in Flagstaff, AZ and has the professional credentials of MD. The NPI Number for Dakota Wise is 1942986419 and holds a License No. R80471 (Arizona).

The current practice location address for Dakota Wise is 2920 N 4Th St, Flagstaff, AZ and can be reached out via phone at 928-522-9400. You can also correspond with Dakota Wise through the mailing address at PO BOX 3630, FLAGSTAFF, AZ - 86003-3630 (mailing address contact number: ).

Location: 2920 N 4Th St, Flagstaff, AZ, 86003-3630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942986419
Provider Name
Dakota Wise
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2920 N 4Th St, Flagstaff, AZ, 86003-3630
Phone Number
928-522-9400
Fax Number
Provider Enumeration Date
06/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2920 N 4Th St
City
Flagstaff
State
Arizona
Zip
86004-1816
Phone Number
928-522-9400
Fax Number
person
Provider Business Mailing Address Details
Address
2920 N 4Th St
City
Flagstaff
State
Arizona
Zip
86004-1816
Phone Number
928-522-9400
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
R80471 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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