Individual
MR. ROBERT EUGENE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
195 E FIDDLERS CANYON RD, UNIT 14, CEDAR CITY, UT 84720-8744
(435) 559-3136
Mailing address
195 E FIDDLERS CANYON RD, UNIT 14, CEDAR CITY, UT 84720-8744
(435) 559-3136
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5586107-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86924214
—
NM
01
—
P00469890
RR MEDICARE
NM
Enumeration date
03/08/2007
Last updated
07/30/2008
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