# MAC WYMAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edwin M Wyman, MD, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790971679
- **Authorized official:** KIM A ARCHULETA (OFFICE MANAGER)
- **Authorized official phone:** (970) 565-9500

## Contact information

- **Practice address:** 1280 N MILDRED RD STE 1, CORTEZ, CO 81321-2212
- **Practice address phone:** (970) 565-9500
- **Practice address fax:** (970) 565-9538
- **Mailing address:** 1280 N MILDRED RD STE 1, CORTEZ, CO 81321-2212
- **Mailing address phone:** (970) 565-9500
- **Mailing address fax:** (970) 565-9538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 31702 | CO | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 05/30/2019