Organization
ERIC L. WYATT, MD, PC
Active
Other names
Advanced Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC L WYATT M.D. (PREIDENT)
(405) 945-4250
Entity
Organization
Contact information
Practice address
3400 NW EXPRESSWAY, SUITE 440, OKLAHOMA CITY, OK 73112-4493
(405) 945-4250
(405) 945-4729
Mailing address
3400 NW EXPRESSWAY, SUITE 440, OKLAHOMA CITY, OK 73112-4493
(405) 945-4250
(405) 945-4729
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19537
OK
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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