Individual
DR. JASON T. WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSPH
Contact information
Practice address
625 N 6TH ST, PHOENIX, AZ 85004-2155
(602) 406-8222
(602) 604-4722
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
1015526
MA
2086X0206X
Surgical Oncology Physician
61811
AZ
Other
Enumeration date
06/20/2011
Last updated
05/23/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us