Organization
DUSTIN B. WISE, M.D., P.C.
Active
Other names
Lone Peak Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN B. WISE M.D. (OWNER)
(801) 492-7851
Entity
Organization
Contact information
Practice address
1888 W 800 N, PLEASANT GROVE, UT 84062-4097
(801) 492-7851
(801) 492-7883
Mailing address
1888 W 800 N, PLEASANT GROVE, UT 84062-4097
(801) 492-7851
(801) 492-7883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5247966-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
516086578002
—
UT
Enumeration date
02/07/2007
Last updated
08/22/2020
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