Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP RICHARD WYATT, M.D.
Active Sole ProprietorDR. PHILIP RICHARD WYATT, M.D. is a 170100000X healthcare provider located in SANTA FE, New Mexico. NPI 1982819199 is currently active in the NPPES registry. Verify at CMS.
170100000X · SANTA FE, NM
Registration Details
- NPI Number
- 1982819199
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2007 (19.250176370949 yrs)
- Last Updated
- Jul 8, 2007
- License
-
21374 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3101 OLD PECOS TRLSANTA FE, NM, 875059025Browse NM providers · Browse ZIP 87505
- Phone
- 5054382211
- Fax
- 5054382220
- Primary Specialty
-
170100000X
170100000X
Other 170100000X Providers in SANTA FE, NM
| Name | Credential | NPI |
|---|---|---|
| DR. NAGA GURUJU | PHD | 1649713942 |
| DR. ZACH ZHISHUO OU | MD | 1740803444 |
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.