Individual
WYATT HARLAN RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
(509) 575-8745
Mailing address
PO BOX 9787, YAKIMA, WA 98909-0787
(509) 575-8255
(509) 225-3168
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60215678
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2008
Last updated
08/26/2011
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