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

Dakota Wise, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942986419

Dakota Wise, MD is a Student in an Organized Health Care Education/Training Program in Flagstaff, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2920 N 4th St
Flagstaff, AZ 86004-1816
Phone: (928) 522-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence R80471 (AZ)

Record details

NPI number1942986419
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 27, 2023
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023
Mailing addressPo Box 3630, Flagstaff, AZ 86003-3630

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