Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC WYATT, MD
ActiveERIC WYATT, MD is a Procedural Dermatology healthcare provider located in LAWTON, Oklahoma. NPI 1417007139 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · LAWTON, OK
Registration Details
- NPI Number
- 1417007139
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2007 (19.596751887987 yrs)
- Last Updated
- Sep 9, 2018
- License
-
19537 (OK)
Practice Information
- Address
-
104 NW 31ST STLAWTON, OK, 735056100Browse OK providers · Browse ZIP 73505
- Phone
- 5805362121
- Fax
- 5802505183
- Primary Specialty
-
Procedural Dermatology
207NS0135X
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.