Individual
DR. HALSEY A WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5214 ANNUNCIATION ST, NEW ORLEANS, LA 70115-1816
(504) 669-9084
(504) 304-3231
Mailing address
5214 ANNUNCIATION ST, NEW ORLEANS, LA 70115-1816
(504) 669-9084
(504) 304-3231
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15828R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1076317
—
LA
Enumeration date
06/04/2006
Last updated
07/08/2007
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