Individual
RICHARD B WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 574-6742
(515) 574-6458
Mailing address
24 N 9TH ST, SUITE A, FORT DODGE, IA 50501-3909
(515) 574-6742
(515) 574-6458
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18949
IA
Other
Enumeration date
11/22/2005
Last updated
11/13/2007
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