Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Medwise PC

Organization Diagnostic Radiology Physician · NPI 1427006253

Medwise PC provides Diagnostic Radiology Physician services in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

790 Gail Gardner Way
Prescott, AZ 86305-2337 Not confirmed with CMS for 13 years — call before visiting
Phone: (928) 776-9900
Fax: (928) 776-1444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 21726 (AZ)

Record details

NPI number1427006253
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ted Wickstrom — Medical Director · (928) 776-9900
NPI enumeratedMay 4, 2006
Last updated in NPPESMarch 7, 2013
Mailing address790 Gail Gardner Way, Prescott, AZ 86305-2337

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