Individual
ZACHARY CORDELL WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0001
(910) 907-8922
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
12793572-1204
UT
207P00000X
Emergency Medicine Physician
Primary
12793572-1204
UT
Other
Enumeration date
03/22/2019
Last updated
05/28/2025
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