ZACHARY CORDELL WISE

HILL AFB, UT
NPI1447710777
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: UT  12793572-1204)
Additional Taxonomies171000000X Military Health Care Provider
(Licence: UT  12793572-1204)
Enumeration Date2019-03-22
Last Update Date2022-10-18
Business Address
ZACHARY CORDELL WISE DO
7321 BALMER ST BLDG 570
HILL AFB, UT 84056-5012
Phone number: 801-586-2273
Mailing Address
ZACHARY CORDELL WISE DO
2661 W 3400 S
SYRACUSE, UT 84075-8066
Phone number: 256-497-2244