Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medwise PC

Organization Diagnostic Radiology Physician · NPI 1427006253

Medwise PC is a Diagnostic Radiology Physician 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
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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