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Individual

DR. ROBERT MARC WYCOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1310 W. EXCHANGE PKWY, EMERGENCY DEPARTMENT, ALLEN, TX 75013
(972) 678-4545
Mailing address
2130 ARCHES PARK DR, ALLEN, TX 75013-5642
(859) 948-8229

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34123
KY
207P00000X
Emergency Medicine Physician
Primary
P6556
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
KY
Enumeration date
06/28/2006
Last updated
08/14/2024
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