Organization
WISE PSYCHIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KEITH WISE MD (PRESIDENT)
(720) 708-4287
Entity
Organization
Contact information
Practice address
6053 S QUEBEC ST STE 203, CENTENNIAL, CO 80111-4505
(720) 708-4287
(720) 815-2581
Mailing address
6053 S QUEBEC ST STE 203, CENTENNIAL, CO 80111-4505
(720) 708-4287
(720) 787-9946
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41287
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70583072
—
CO
Enumeration date
05/07/2011
Last updated
10/16/2024
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