Individual
ARMANDO J WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 RIVERVIEW AVE, STE 500, NORFOLK, VA 23510-1065
(757) 233-8252
(757) 233-8905
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101236905
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010187214
—
VA
01
—
541951145
MID ATLANTIC SOLUTIONS
VA
Enumeration date
02/21/2006
Last updated
10/15/2012
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