Individual
SUZETTE REINE WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2775 S 8TH AVE, YUMA, AZ 85364-7110
(928) 341-0700
Mailing address
2775 S 8TH AVE, YUMA, AZ 85364-7110
(928) 341-0700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110006948
VA
363A00000X
Physician Assistant
333188
LA
363AM0700X
Medical Physician Assistant
Primary
7203
AZ
Other
Enumeration date
09/17/2018
Last updated
07/13/2025
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