Individual
DR. COLBY A WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
887 CONGRESS ST, SUITE 320, PORTLAND, ME 04102
(207) 662-5522
(207) 662-5527
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD19591
ME
2080P0214X
Pediatric Pulmonology Physician
Primary
MD19591
ME
Other
Enumeration date
04/23/2008
Last updated
09/05/2013
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