Individual
WILLIAM R. WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7200 CATHEDRAL ROCK DR., SUITE 180, LAS VEGAS, NV 89128-0466
(702) 341-9000
(702) 341-5864
Mailing address
7150 W SUNSET RD, SUITE 201A, LAS VEGAS, NV 89113-1981
(702) 385-4342
(702) 385-4346
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5572
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912092768
—
NV
Enumeration date
10/04/2006
Last updated
12/01/2014
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