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Individual

JAMES J WYMAN

Active
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Individual

JAMES J WYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD00037260
WA
207XX0801X
Orthopaedic Trauma Physician
MD00037260
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
135267
L&I
WA
05
1477572931
WA
01
3240WY
REGENCE
WA
Enumeration date
07/18/2006
Last updated
04/13/2012
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