Individual
JAMES RICHARD WYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101274353
VA
2084N0400X
Neurology Physician
301819
NY
390200000X
Student in an Organized Health Care Education/Training Program
63822
NY
Other
Enumeration date
03/29/2016
Last updated
09/02/2022
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