Individual
WYATT MATTHEW LANDRITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5020
(405) 271-2422
(405) 271-2568
Mailing address
5909 GRANDBY RD, EDMOND, OK 73034-1700
(405) 919-9983
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
05/19/2026
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