Individual
ANGELA J WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 N VERDE ST STE 101, FLAGSTAFF, AZ 86001-5257
(928) 779-6923
(928) 779-6924
Mailing address
1501 S YALE ST, SUITE 152, FLAGSTAFF, AZ 86001-7304
(928) 779-6923
(928) 779-6924
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
226600
NY
207N00000X
Dermatology Physician
Primary
42581
AZ
207N00000X
Dermatology Physician
M4667
TX
207ND0900X
Dermatopathology Physician
226600
NY
207ND0900X
Dermatopathology Physician
42581
AZ
207ND0900X
Dermatopathology Physician
M4667
TX
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
226600
NY
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
42581
AZ
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
M4667
TX
207NP0225X
Pediatric Dermatology Physician
226600
NY
207NP0225X
Pediatric Dermatology Physician
42581
AZ
207NP0225X
Pediatric Dermatology Physician
M4667
TX
207NS0135X
Procedural Dermatology Physician
226600
NY
207NS0135X
Procedural Dermatology Physician
42581
AZ
207NS0135X
Procedural Dermatology Physician
M4667
TX
Other
Enumeration date
05/19/2006
Last updated
01/15/2019
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