Individual
DR. ELIZABETH F WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
521 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3865
(509) 962-1414
(509) 962-1408
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 853-1082
(509) 853-1082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019488
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8317901
—
WA
Enumeration date
06/08/2006
Last updated
01/08/2020
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