Individual
DR. NATHAN SHANE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1201 S BELMONT AVE, BAKER BUILDING - SUITE 106, OKMULGEE, OK 74447
(918) 756-9909
(918) 756-2464
Mailing address
1201 S BELMONT AVE STE 106, OKMULGEE, OK 74447-6351
(918) 756-9909
(918) 756-2464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13255
OK
Other
Enumeration date
02/20/2007
Last updated
05/18/2023
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