Individual
JAMES RICHARD WYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRESHAM DR STE 8610, NORFOLK, VA 23507-1904
(757) 252-9015
(757) 510-9041
Mailing address
600 GRESHAM DR STE 8610, NORFOLK, VA 23507-1904
(757) 252-9015
(757) 510-9041
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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