Individual
ROBERT WILLIAM WYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
100 LAROSA RD, STE D, LONG BEACH, MS 39560
(228) 863-8050
(228) 863-1693
Mailing address
1114 HICKORY DR, LONG BEACH, MS 39560-3223
(228) 863-8050
(228) 863-1693
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
1080
LA
237700000X
Hearing Instrument Specialist
AL 4079
AL
237700000X
Hearing Instrument Specialist
Primary
HAD 0457
MS
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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