Individual
MR. DAVID RAYMOND WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCO
Contact information
Practice address
2800 VETERANS MEMORIAL BLVD., SUITE 200, METAIRIE, LA 70002
(504) 522-2354
Mailing address
2800 VETERANS MEMORIAL BLVD., SUITE 200, METAIRIE, LA 70002
(504) 522-2354
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
07/23/2020
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