Individual
DR. ARNOLD B WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1009 SPRUCE ST, ESPANOLA, NM 87532-2740
(505) 747-4144
(505) 747-3213
Mailing address
1009 SPRUCE ST, ESPANOLA, NM 87532-2740
(505) 747-4144
(505) 747-3213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
98-200
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S6084
—
NM
Enumeration date
08/29/2006
Last updated
07/09/2007
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