Dustin Bryant Wise
M.D. | Pediatrics | Male
Dustin Bryant Wise, M.D. is a Pleasant Grove, Utah based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dustin Bryant Wise is
1888 W 800 N, Pleasant Grove, Utah - 84062-4097. He can be contacted on phone at
801-492-7851 and fax number 801-492-7883.
Dustin Bryant Wise is a sole proprietor of his business.
NPI number (Unique professional ID) for Dustin Bryant Wise is
1811945769 which was assigned by NPPES on 04 May, 2006 and it was last updated on 09 Sep, 2021.
Dustin Bryant Wise license number is
52479661205 for Pediatrics (208000000X) in Utah.
Dustin Bryant Wise is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dustin Bryant Wise basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dustin Bryant Wise |
|---|
| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dustin Bryant Wise address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1888 W 800 N
Pleasant Grove, UT, 84062-4097
United States |
|---|
| Phone Number : | 801-492-7851 |
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| Fax Number : | 801-492-7883 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1811945769 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 May, 2006 |
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| Last Updated On : | 09 Sep, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dustin Bryant Wise are as mentioned. Primary taxonomy code for Dustin Bryant Wise, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 52479661205 | UT |
Legacy Identifiers:
Other legacy medical identifiers of Dustin Bryant Wise such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 107017722102 | Other | UT | IHC HEALTH PLANS |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | dustin.wise@direct.imail.org
| No affiliation |
|
| 1888 W 800 N,
PLEASANT GROVE, UT, 84062-4097
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1888 W 800 N
Pleasant Grove, UT, 84062
United States |
|---|
| Phone Number : | 801-492-7851 |
|---|
| Fax Number : | 801-492-7883 |
|---|
Business Location:
Patients can refer following map for directions to
Dustin Bryant Wise practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.