| David Michael Wisdom, PA-C | |
|
26520 Cactus Ave, Moreno Valley, CA 92555-3927 | |
| (816) 868-5374 | |
| Not Available |
| Full Name | David Michael Wisdom |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 26520 Cactus Ave, Moreno Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396227583 | NPI | - | NPPES |
| 1138002 | Other | NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA61471148 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David Michael Wisdom, PA-C 1713 Overbrook Ln, Raymore, MO 64083-8172 Ph: (816) 868-5374 | David Michael Wisdom, PA-C 26520 Cactus Ave, Moreno Valley, CA 92555-3927 Ph: (816) 868-5374 |
Mrs. Isha Saeeda Taylor, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 27480 Aromatic Ct, Moreno Valley, CA 92555 Phone: 323-702-2037 | |
Ms. Tiffany Anh Thu Ha, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4767 | |
Mr. Douglas Gordon Mccarty I, PHYSICAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 12980 Frederick St Ste I, Moreno Valley, CA 92553 Phone: 951-924-3244 Fax: 951-243-6976 | |
Henna Mohammad, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24060 Fir Ave Ste A, Moreno Valley, CA 92553 Phone: 951-247-8005 | |
Fareeha Sial, Physician Assistant Medicare: Medicare Enrolled Practice Location: 13524 Baneberry St, Moreno Valley, CA 92553 Phone: 619-750-9752 | |
Mrs. Ambar Oregel Coffey, P.A.- C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4397 | |
Mr. Michael Gavin Deguzman, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 12712 Heacock St Ste 3, Moreno Valley, CA 92553 Phone: 951-601-6802 Fax: 951-601-9263 |