Individual
MR. DOYLE HARRISON WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
1109 E MAIN ST, MELBOURNE, AR 72556
(870) 368-4397
Mailing address
PO BOX 536, MELBOURNE, AR 72556-0536
(870) 368-4397
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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