# WILLIAM J. WYATT MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417261835
- **Authorized official:** DR. WILLIAM J WYATT MD (PHYSCIAN)
- **Authorized official phone:** (307) 638-8987

## Contact information

- **Practice address:** 2232 DELL RANGE BLVD, SUITE 206, CHEYENNE, WY 82009-4941
- **Practice address phone:** (307) 638-8987
- **Practice address fax:** (307) 638-7829
- **Mailing address:** 2232 DELL RANGE BLVD, SUITE 206, CHEYENNE, WY 82009-4941
- **Mailing address phone:** (307) 638-8987
- **Mailing address fax:** (307) 638-7829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | NULL | Yes |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2010
- **Last updated:** 07/30/2013