Individual
ANDREW PHILLIP HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
SA-1 RM L201, 2401 E STREET NW, WASHINGTON, DC 20520-0001
(801) 615-5530
Mailing address
145 N 170 E, OREM, UT 84057-5527
(801) 615-5530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102202598
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150162
—
OR
Enumeration date
09/20/2005
Last updated
05/06/2011
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