Organization
WILLIAM J. WYATT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J WYATT MD (PHYSCIAN)
(307) 638-8987
Entity
Organization
Contact information
Practice address
2232 DELL RANGE BLVD, SUITE 206, CHEYENNE, WY 82009-4941
(307) 638-8987
(307) 638-7829
Mailing address
2232 DELL RANGE BLVD, SUITE 206, CHEYENNE, WY 82009-4941
(307) 638-8987
(307) 638-7829
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W307807
PTAN
WY
Enumeration date
07/27/2010
Last updated
07/30/2013
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