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Individual
RICHARD A. WYATT
Active
Individual
RICHARD A. WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N-6335
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102659001
—
AR
01
—
114860000-00
QUALCHOICE
AR
01
—
160015704
RAILROAD MEDICARE
AR
01
—
4206569
AETNA
AR
01
—
55878
BCBS
AR
01
—
710619986
CIGNA
AR
01
—
862499
UNITED HEALTHCARE
AR
Enumeration date
06/09/2006
Last updated
05/19/2008
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