Organization
ALLISON WYMAN MD LLC
Active
Organization
ALLISON WYMAN MD LLC
Active
Other names
Allison Wyman MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA OTERO CREDENTIALING (CREDENTIALING SPECIALIST)
(727) 499-0351
Entity
Organization
Contact information
Practice address
2919 W SWANN AVE STE 404, TAMPA, FL 33609-4052
(813) 773-0579
Mailing address
2410 NORTHSIDE DR, CLEARWATER, FL 33761-2236
(727) 499-0351
(727) 781-3312
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
10/21/2024
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