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Individual

WYATT HO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1104 N EL DORADO PL, TUCSON, AZ 85715-4606
(520) 762-9777
(520) 666-3211
Mailing address
1104 N EL DORADO PL, TUCSON, AZ 85715-4606
(520) 762-9777
(520) 666-3211

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
66380
AZ
208600000X
Surgery Physician
66380
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128639
AZ
05
200294390A
OK
Enumeration date
06/11/2009
Last updated
03/12/2025
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