# DR. JAMES GUY WYMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477530830
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036-081788 | IL | — |
| 207W00000X | Ophthalmology Physician | 21468 | IA | Yes |

## Other

- **Enumeration date:** 12/28/2005
- **Last updated:** 09/17/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1053918 | — | IA |
| 01 | — | 26568 | IA GROUP MEDICARE | IA |
| 01 | — | 790730 | IL GROUP MEDICARE | IL |