Individual
JAMES FOREST WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 EAST SUMMIT STREET, RED OAK, IA 51566
(712) 623-5416
(712) 623-5418
Mailing address
PO BOX 460, 1905 EAST SUMMIT STREET, RED OAK, IA 51566
(712) 623-5416
(712) 623-5418
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
14435
NE
207V00000X
Obstetrics & Gynecology Physician
Primary
21247
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180976
—
IA
01
—
18097
BCBSS
—
Enumeration date
11/20/2006
Last updated
07/08/2007
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