Individual
JAMES J WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11212 SUNRISE BLVD E STE 201, PUYALLUP, WA 98374-8847
(253) 446-0750
(253) 446-0757
Mailing address
11212 SUNRISE BLVD E STE 201, PUYALLUP, WA 98374-8847
(253) 446-0750
(253) 446-0757
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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