Robert Lance Wise, DC | |
9104 E 62nd St, Tulsa, OK 74133-6443 | |
(918) 461-9490 | |
(918) 461-9690 |
Full Name | Robert Lance Wise |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 25 Years |
Location | 9104 E 62nd St, Tulsa, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831126143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3539 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Health Wise Chiropractic Inc Pc | 3678629805 | 2 |
Provider Name | Health Wise Chiropractic Inc Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205960754 PECOS PAC ID: 3678629805 Enrollment ID: O20120222000513 |
Mailing Address | Practice Location Address |
---|---|
Robert Lance Wise, DC 9104 E 62nd St, Tulsa, OK 74133-6443 Ph: (918) 461-9490 | Robert Lance Wise, DC 9104 E 62nd St, Tulsa, OK 74133-6443 Ph: (918) 461-9490 |
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