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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROGER WYATT, MD

Active

ROGER WYATT, MD is a Family Medicine healthcare provider located in CALDWELL, Idaho. NPI 1326305004 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CALDWELL, ID

Registration Details

NPI Number
1326305004
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2012 (14.321779616582 yrs)
Last Updated
Dec 5, 2016
Licenses
R73187 (AZ)
M-12951 (ID)

Practice Information

Address
315 E ELM ST
STE 100
CALDWELL, ID, 83605
Browse ID providers · Browse ZIP 83605
Phone
2083027100
Fax
2083027155
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in CALDWELL, ID

Name Credential NPI
STACY JANE LAMERS DO 1003867094
BRANDON G ISAACS DO 1801833645
LISA R KOLTES MD 1780626127
RICHARD A AUGUSTUS MD 1699717793
KEVIN J CHICOINE MD 1730121740
SAMANTHA PORTENIER MD 1356385132
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.